A case report describing the clinical presentation of a 38-year-old woman with a pericardial effusion and a history of aortic stenosis.
May alert clinicians to effusion in aortic stenosis; leaves open any management implications.
Presentation of CaseA 38-year-old woman was admitted to the hospital because of a pericardial effusion.Nine years earlier she was told that she had asymptomatic aortic stenosis and slight cardiac enlargement. She remained free of symptoms until three weeks before entry, when a dry cough developed, and her temperature rose to 38.9°C. Nine days before admission she entered another hospital, where examination disclosed an aortic murmur and a pericardial friction rub. The spleen was not felt. The hemoglobin was 8.7 g per 100 ml. X-ray films of the chest showed cardiac enlargement. Penicillin was administered, after which samples were . . .
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Cabot et al. (1977) studied this question.
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