A mild flu gets complicated
A 44-YEAR-OLD builder presents with a three-day history of gradual onset, sharp, retrosternal chest pains radiating through to his back and neck, exacerbated by inspiration and lying supine. His pain results in shallow breathing but not true dyspnoea.
A week ago he had 24 hours of “feeling shivery” but with no coryzal symptoms, arthralgias, myalgias or rashes.
He smokes 25 cigarettes a day and has a past history of gout. There is no family history of cardiovascular disease, thrombosis or autoimmune conditions.
Examination reveals a fit-looking male with a regular pulse,