They had a history of paroxysmal AF for some years, leading to treatment with dabigatran (150 mg twice daily). Some years ago, they had an acute coronary event (related to non-ST elevation-acute coronary syndrome), with right coronary vessel sub-occlusion, which was treated with a percutaneous coronary intervention and insertion of a drug-eluting stent, with moderate left ventricular dysfunction (40%).
They suffered from Type 2 diabetes, dyslipidaemia, obesity (BMI: 34 kg/m 2), and chronic obstructive pulmonary disease, and they were allergic to penicillin. A 71-year-old male with atrial fibrillation (AF) was admitted to the authors’ emergency department with fever, progressive dyspnoea, and chest pain spreading to the back for 2 days.
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