Prince Charles Hospital

  • 59-year-old female, day 6 ICU, admitted with Klebsiella sepsis with cavitating pulmonary lesions and liver abscess, two weeks after returning from Malaysia. She was intubated for worsening hypoxaemia, tachypnoea and respiratory alkalosis. Clinical signs included a widespread rash, fever, right lower lobe changes, poor lung compliance and septic shock on high-dose vasopressors. Candidates were directed to examine her and identify possible causes for her fever.