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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

https://doi.org/10.1136/heartjnl-2014-305663

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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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    Footnotes

    • Contributors JAC and CMS assessed and diagnosed the patient with pericarditis, and arranged the subsequent imaging investigations and treated the patient. JAC and CMS were the main authors of the manuscript. WL was the radiologist who interpreted the chest X-ray. IDCK was the radiologist who interpreted the CT scan.

    • Funding None.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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