Recent fever, sudden dyspnoea and ST elevation with raised cardiac enzymes

A 45- year-old male farmer presented with a history of fever since 1 week associated with dyspnoea and dry cough since 5 days, followed by bodyache, jaundice and redness in both eyes since 2 days. There was no history of similar complaints, or any history of hypertension, diabetes, tuberculosis, etc. For his current symptoms he consulted a local health worker but was referred to us for further management when he did not improve. On admission, the patient was conscious and oriented. He was febrile with a temperature of 100 F, pulse 102/min and blood pressure of 116/86 mm Hg. He was tachypnoeic with a respiratory rate of 26/min and hypoxic with an oxygen saturation of 80% at room air. He had conjunctival suffusion and there was no pallor, cyanosis, lymphadenopathy, pedal oedema or …