A Case of Rheumatic Fibrinous Pericarditis

Autor: Ajitkumar Valaparambil, Sivasankaran Sivasubramanian, Harikrishnan Sivadasanpillai, Krishna Kumar Mohanan Nair, Sanjay Ganapathi, Jaganmohan Tharakan
Rok vydání: 2016
Předmět:
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