Medical Microbiology/Infectious disease (Ellie)

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A patient presents with A 30 year old lady from Swaziland presents with progressive shortness of breath and lethargy. She reports recurrent chest infections over the last few years but this is episode is different. She does not have a cough. She is taking no medications. On examination her chest is clear. Her saturations are 98% on air, at rest and 94% after she walks around the consultation room. Chest X-ray is normal. What is the diagnosis?

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