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A young patient presented with central chest pain and dyspnoea. The 12-lead ECG demonstrated sinus tachycardia with anterior T-wave inversion. Shortly after presenting the patient developed cardiogenic shock, with chest X-ray showing widespread bilateral infiltrates. Initial blood tests revealed a raised troponin-T (>10 000 ng/L) and coronary angiography demonstrated unobstructed coronary arteries. A bedside transthoracic echocardiogram and subsequent endomyocardial biopsy confirmed the underlying diagnosis (figure 1 and online supplemental material).
Contributors AI wrote the case report.
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.
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