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Pulmonary and Critical Care Pearls |

A 39-Year-Old Man With Anasarca*

Ehtisham Mahmud, MD; Ajit Raisinghani, MD; Ralph Shabetai, MD
Author and Funding Information

*From the Division of Cardiology, University of California, San Diego School of Medicine, San Diego, CA.

Correspondence to: Ehtisham Mahmud, MD, Division of Cardiology, UCSD Medical Center, 200 West Arbor Dr, San Diego, CA 92103-8411; e-mail: emahmud@ucsd.edu



Chest. 2004;126(5):1683-1686. doi:10.1378/chest.126.5.1683
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Extract

A 39-year-old man presented to the emergency department with a 2-week history of mild abdominal pain, abdominal distention, and dyspnea. He had a nonproductive cough with sharp chest pain, chills, night sweats, anorexia, and early satiety. A 20-lb weight gain with bilateral lower extremity swelling was also reported. An outpatient course of doxycycline had failed to improve his symptoms. His medical and social history were otherwise unremarkable.

1Fowler, NO (1982) Constrictive pericarditis: new aspects.Am J Cardiol50,1014-10172Hancock, EW Subacute effusive constrictive pericarditis.Circulation1971;43,183-1923Sagrista-Sauleda, J, Permanyer-Miralda, G, Candell-Riera, J, et al Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis.Am J Cardiol1987;59,961-9664Shabetai, R, Fowler, NO, Fenton, JC, et al Pulsus paradoxus.J Clin Invest1965;44,1882-18985Shabetai, R Pericardial disease: etiology, pathophysiology, clinical recognition, and treatment. Willerson, JT Cohn, JN eds.Cardiovascular medicine2000,1245-1272 Churchill Livingstone. New York, NY: 6Wachter, RM, Goldman, L The emerging role of “hospitalists” in the American health care system.N Engl J Med1996;335,514-5177Wachter, RM, Goldman, L The hospitalist movement 5 years later.JAMA2002;287,487-494

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