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Pleuritic chest pain in a 58-year-old man
  1. Jessica A Cudmore1,
  2. Wilson Lam2,
  3. Iain D C Kirkpatrick2,
  4. Colette M Seifer1
  1. 1Department of Internal Medicine, University of Manitoba, Winnipeg, Canada
  2. 2Department of Diagnostic Radiology, University of Manitoba, Winnipeg, Canada
  1. Correspondence to Dr Colette M Seifer, Section of Cardiology, Y3019, St Boniface Hospital, 401 Tache Avenue, Winnipeg, Canada MB R2H 2A6; cmseifer{at}sbgh.mb.ca

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CLINICAL INTRODUCTION

A 58-year-old man with pleuritic chest pain presented for evaluation. He had a remote history of gastric surgery. There was a pericardial friction rub identified. A 12-lead ECG was consistent with acute pericarditis. Further imaging including a chest X-ray and CT scan of the chest was performed and a diagnosis was achieved.

A 58-year-old man was seen in the emergency department for evaluation of 2 days of central pleuritic chest pain, worse when supine. He described a 2-week history of non-productive cough, fever and progressive generalised malaise. His past medical history was significant for gastric cancer treated surgically with an oesophagectomy and partial gastrectomy with a left …

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