A Case of Rheumatic Fibrinous Pericarditis
Autor: | Ajitkumar Valaparambil, Sivasankaran Sivasubramanian, Harikrishnan Sivadasanpillai, Krishna Kumar Mohanan Nair, Sanjay Ganapathi, Jaganmohan Tharakan |
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Rok vydání: | 2016 |
Předmět: |
Male
Tachycardia medicine.medical_specialty Cardiovascular examination Administration Oral Penicillins 030204 cardiovascular system & hematology Young Adult 03 medical and health sciences Pericarditis 0302 clinical medicine Internal medicine medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Involuntary movement business.industry Rheumatic Heart Disease medicine.disease Anti-Bacterial Agents Surgery Treatment Outcome Blood pressure Pedal Edema Subcutaneous nodule Cardiology Rheumatic fever Administration Intravenous Steroids medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | Circulation: Cardiovascular Imaging. 9 |
ISSN: | 1942-0080 1941-9651 |
Popis: | A 20-year-old male presented with worsening of shortness of breath of 1-month duration. He provided history of rheumatic fever in the past and was on intravenous benzathine penicillin prophylaxis, which he discontinued for the last 2 years. There was no history of fever, cough, joint-related symptoms, or involuntary movements. He was moderately built and poorly nourished with bilateral pitting pedal edema. There was no skin lesion or subcutaneous nodules. Patient was afebrile and tachypneic at rest, with resting tachycardia, elevated jugular venous pressure, and blood pressure of 114/56 mm Hg in the right upper limb. Cardiovascular examination revealed cardiomegaly, soft first heart sound, loud second heart sound, grade 3/6 harsh pan systolic murmur at the apex, … |
Databáze: | OpenAIRE |
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