ABSTRACT
A 23-year-old woman presented to hospital complaining of dyspnoea and left-sided chest pain that was worse on deep inspiration. She said that her symptoms had developed gradually over the preceding 24 hours, although she often had a dull ache or sense of ‘fullness’ on the left side of her abdomen and chest. She lived in China and had travelled to the United Kingdom for a holiday with her friend. She denied any past medical history and took no regular, herbal, or over-the-counter medications. She had never smoked and did not drink alcohol. She worked as a beauty therapist in a health spa and had no additional travel history.
