case_images: PMC5376942_01
case_images: CXR on first admission.
case_images: CRIM2017-4895736.001.jpg
case_images: PMC5376942_01_CRIM2017-4895736.001.jpg
case_images: fig1
case_images: Chest X-ray showed pulmonary interstitial changes in the right lung without frank consolidation (Figure 1).
case_images: ECG on admission.
case_images: CRIM2017-4895736.002.jpg
case_images: PMC5376942_01_CRIM2017-4895736.002.jpg
case_images: fig2
case_images: ECG showed fast atrial fibrillation at a rate of 129/mins with T wave flattening in leads II, avF, V4, V5, and V6 (Figure 2).
case_images: CXR on second admission.
case_images: CRIM2017-4895736.003.jpg
case_images: PMC5376942_01_CRIM2017-4895736.003.jpg
case_images: fig3
case_images: Chest X-ray on admission showed bilateral pulmonary infiltrate more prominent on the right (Figure 3). Computed tomography (CT) noncontrast head scan excluded intracranial haemorrhage as a cause for headache.
case_images: High resolution CT.
case_images: CRIM2017-4895736.004.jpg
case_images: PMC5376942_01_CRIM2017-4895736.004.jpg
case_images: fig4
case_images: A high resolution CT of the chest demonstrated widespread interstitial oedema, ground glass opacities, moderate bilateral pleural effusions with atelectasis of upper and lower lobes, and increased lung attenuation suggesting cellular infiltrate related pneumonitis (Figure 4).