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An interesting case of fever and left ventricular systolic dysfunction
  1. Adam Ioannou
  1. Department of Cardiology, Royal Free London NHS Foundation Trust, London, UK
  1. Correspondence to Dr Adam Ioannou, Royal Free London NHS Foundation Trust, London NW3 2QG, UK; adamioannou14{at}

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Clinical introduction

An elderly patient with no medical history presented to the hospital with fever and feeling generally unwell. The patient did not report any chest pain or shortness of breath. Observations revealed a raised temperature of 39.1°C and a normal blood pressure of 130/80 mm Hg. A resting 12-lead ECG demonstrated sinus tachycardia with a heart rate of 135 beats per minute and left bundle branch block. There were no previous 12-lead ECGs available for comparison. Initial blood tests revealed an elevated raised serum troponin T, B-type natriuretic peptide …

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  • Contributors AI is the sole contributor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; internally peer reviewed.