Description
An 83 year old male, non-smoker, presented with reduced mobility, lethargy, a cough with white mucoid sputum, pyrexia and anemia. His past medical history included recurrent epistaxis, diabetes, paroxysmal atrial fibrillation and a mild CVA.
He was initially treated for possible pneumonia with oral Co-amoxiclav. His blood culture grew Staphylococcus aureus and so he was changed to intravenous f lucloxacillin. Echocardiography showed no evidence of endocarditis. He complained of back pain and so an MRI spine was performed, this showed no evidence of infection. As he clinically improved and started physiotherapy, he was found to have intermittent hypoxia, desaturating to an oxygen level of 86% on room air. Further clinical examination of his cardiorespiratory systems were normal, however mucocutaneous lesions on the tongue and lips were noticed. CT chest with contrast was arranged.
