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An unusual cause of pyrexia
  1. D C Howlett,
  2. M Segwagwe,
  3. N D P Marchbank,
  4. A A Dunk
  1. Eastbourne District General Hospital, Eastbourne, East Sussex, UK
  1. Correspondence to:
    Dr D C Howlett
    Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex BN21 2UD, UK; David.Howlett{at}ESHT.NHS.UK

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CLINICAL PRESENTATION

A 58 year old male patient presented with a 24 hour history of nausea, vomiting, and right shoulder tip pain with associated rigors. On examination he was tachycardic, 100 beats per minute, and pyrexial (38°C) but clinical examination was otherwise unremarkable. He was taking no medications and the only …

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