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Sheila Shelter
36 y old female
PC fever, rigor, swollen lymph nodes
HPC iv drug user (IVDU)
symptoms started 2 days ago with swollen lymph nodes
feeling very unwell
generalised pain in muscles and joints
has had similar problems before – 10 y ago
PMH septicaemia 2003
chronic Hepatitis B
multiple admissions with overdoses (OD's)
chronic cough
DH illegal drugs (heroin, cocaine)
benzodiazepines
no known drug allergies (NKDA)
SH lives with friends
long standing opiate addictsmokes 40/day
alcohol 20 pints/week
FH doesn't know her parents
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