A 36-year-old female presented with a 3-day history of increasing shortness of breath, cough with purulent sputum, haemoptysis, pleuretic chest pain, nausea, vomiting and rigors. The patient was an intravenous drug user (IVDU) who smoked 20 cigarettes per day and denied drinking alcohol. Her only past medical history was of mild asthma, for which salbutamol was taken as needed.
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