ABSTRACT
A 65-year-old man has presented to the emergency department with a one-day history of generalized headache, shortness of breath, fever, rigors, productive cough, right-sided pleuritic chest pain, myalgia and watery diarrhoea. He returned from Kuala Lumpur three days ago after a five-day holiday with his family. He stayed in the city and did not visit the countryside. His hotel was air-conditioned and he ate cooked meals there. His wife, who was travelling with him, also presented with a similar illness. He is normally fit and well with no past medical history.
