Mycobacterium chimaera infection following cardiac surgery is associated with a wide spectrum of disease. The diagnosis should be considered in all patients who develop an unexplained illness following cardiac surgery.

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SUMMARYA 25-year-old Caucasian heterosexual man with a recent history of unprotected sex in Vietnam while on a holiday was prescribed HIV postexposure prophylaxis by a local doctor; nevirapine, stavudine and lamivudine. He was subsequently admitted to a UK hospital with sore throat, bilateral conjunctivitis, genital ulceration and severe widespread maculo-papular rash. Extensive investigations for infective causes were negative and he was subsequently recovered with conservative therapy. BACKGROUND

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