QUIZ 6:

A 54 year old male patient,

known Hypertensive, Ischaemic heart disease, had undergone CAG – PTCA to LAD about 8 mnths back.

Now presents with

H/o Fever – low grade, on and off for last 6 mnths, being treated on out patient basis with multiple antibiotics;

H/o 1 episode of giddiness/ black-out about 2 months back;

H/o hoarseness of voice since last 3 weeks, IDL done: suggestive of Left vocal cord palsy; followed by

H/o dysphagia, to both solids and liquids, sudden in onset, since today morning.

What is your diagnosis?