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Harold H. Fox, M.D.
JAMA. 1924;82(6):467-468. doi:10.1001/jama.1924.26520320001014.
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A review of the literature on pericarditis with effusion, and on pneumothorax, fails to disclose a report of exactly the combination of pathologic conditions reported here. The extreme rarity of this condition and the good results following surgical treatment under local anesthesia warrant the report of the case.

REPORT OF CASE  W. P. R., a man, aged 36, married, at the age of 19 first noticed a "slipping, rubbing sensation" in the chest, so severe as to awaken him at night. It was apparently caused by the beating of his heart. He was told by a physician that this condition was caused by the heart, and that one of the heart valves was leaking. Several years later this condition cleared up, and he did not notice it again until his present illness.July 25, 1922, while dressing, the patient first noticed that his heart was beating on the right side,


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