Case report describing the finding of a pericardial cyst in an elderly man presenting with respiratory symptoms and pleuritic chest pain.
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Pericardial cyst may cause respiratory symptoms and pleuritic pain in the elderly; adds to sparse case reports but leaves broader implications open.
An 83-year-old man with a hitory of mild mental retardation and tobacco abuse, presented with fever, sore throat, runny nose, sinus congestion, dry cough, shortness of breath, and pleuritic chest pain for two days. He had a history of heavy cigarette smoking of half a pack a day for many years. He denied drinking alcohol or using illicit drugs. Vital signs were as follows: temperature: 103.7F, respiratory rate: 20 per minute, blood pressure: 157/72 mmHg, pulse: 112 per minute, and oxygen saturation: 95% on room air. Lung exam revealed distant air entry, wheezes, and rhonchi bilaterally. White blood cells count was 9.9 10 3 /L. A chest Xray (Picture 1), and CT (Picture 2) are shown:
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Jabr et al. (2010) studied this question.
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