Case 49-1990 A 47-Year-Old Cape Verdean Man with Pericardial Disease

Presentation of Case A 47-year-old man was admitted to the hospital because of fever and pleuritic chest pain. The patient was in excellent health until one week earlier, when he awoke in the morning with severe pain in the left posterolateral aspect of the neck that moved to the left anterior thora...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 323; no. 23; pp. 1614 - 1624
Main Authors Olds, G. Richard, Harmon, James V
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 06.12.1990
Subjects
Antibiotics
Case reports
Disease
Fever
Friction
Heart
Hospitals
Lungs
Neutrophils
Pain
Pneumonia
Proteins
Streptococcus infections
Urine
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Summary:Presentation of Case A 47-year-old man was admitted to the hospital because of fever and pleuritic chest pain. The patient was in excellent health until one week earlier, when he awoke in the morning with severe pain in the left posterolateral aspect of the neck that moved to the left anterior thorax by late in the afternoon; the pain was exacerbated by deep inspiration and was accompanied by mild dyspnea. Four days before entry fever developed, and the patient came to the Emergency Ward, where physical examination showed that the temperature was 39.3°C. Crackles were heard at both lung bases, . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199012063232308