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Massive Pericardial Effusion in Subacute Bacterial Endocarditis

Howard B. Tykot, MD; Richard Relkin, MD
JAMA. 1963;184(11):898-900. doi:10.1001/jama.1963.73700240023019c.
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MINOR pericardial effusion has been reported to occur in a small percentage of cases of subacute bacterial endocarditis. However, a review of the literature fails to reveal any case of massive pericardial effusion due to subacute bacterial endocarditis alone. It is the purpose of this paper to present such a case.

Report of a Case  A 39-year-old male was admitted to Brooklyn Hospital on May 10, 1962, because of severe left precordial pain and dyspnea. Eight months prior to admission he noticed a painful "blood blister" in the pad of the right great toe. A similar lesion was subsequently seen in the pad of the right fourth finger 1 month prior to admission, at which time he developed bilateral pedal edema. Two weeks prior to admission he noticed increasing dyspnea on exertion and orthopnea. Night sweats began 4 days prior to admission. There was no history of fever or shaking


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