Case 31-1967

Presentation of Case First admission. A forty-four-year-old Negro man entered the hospital because of swelling of the legs.He had been in excellent health until the development of a productive cough two months previously. Two weeks before admission he experienced burning and squeezing pain in the lower portion of the chest anteriorly, lasting for ten minutes. Subsequently, there was gradually increasing swelling of the ankles, legs and scrotum; he had increasing dyspnea on exertion but no orthopnea. No further episodes of chest pain occurred.There was no history of heart disease, cardiac murmur or rheumatic fever. Two months before . . .