ABSTRACT
A 27-year-old woman presented to the emergency department complaining of shortness of breath. She described gradual-onset dyspnoea developing over the preceding 24 hours. She also complained of a 10-day history of a non-productive cough, fever and general malaise. Her past medical history included recent investigations for infertility. She was undergoing in vitro fertilisation (IVF) therapy and stated that a recent pelvic laparoscopy showed large fibroids and possible endometriosis. Her last menstrual period was 28 days ago. She took no regular medications and had no significant family history. She lived with her husband and worked as a jewellery designer. She had never smoked and did not drink alcohol. She had not travelled abroad in recent years.
