Abstract

A 10-year-old boy presented with a 12-week history of progressive breathlessness following a chest infection. He had no history of pyrexia or night sweats and no significant weight loss. On examination, the patient was well at rest but breathless on minimal exertion. He was slightly pale with palpable cervical lymph nodes. His heart rate was 136 b.p.m. and blood pressure 107/75. On auscultation, heart …

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