ABSTRACT
A 57-year-old man presented to the emergency department complaining of a worsening cough. The cough had been present for approximately 2 weeks and was productive of green sputum. He had seen his general practitioner 1 week earlier and taken a course of amoxicillin for a presumed lower respiratory tract infection with no improvement of symptoms. He was febrile throughout the day and reported experiencing frequent headaches and a feeling of general malaise. He had been unable to eat solid food for the last 48 hours due to facial pain on chewing. He denied any past medical history and took no regular medications. He worked as a cashier in a supermarket and had never smoked. He had not travelled abroad for more than a decade.
