A patient with fever, chest pain and a rapidly changing chest X-ray
© The Author(s) 2010
Received: 9 September 2010
Accepted: 13 September 2010
Published: 26 October 2010
A 58-year-old male presented to the emergency department with fever, malaise and right-sided chest pain, aggravating during inspiration. Two days prior to presentation, he had been discharged home from another hospital with antibiotics for a suspected urinary tract infection. Chest X-ray and CT scan, trans-thoracic echocardiography and blood cultures had not revealed any abnormalities during that hospital admission. The patient had a Bentall procedure with aortic valve replacement, complicated by cardiac tamponade 2 years earlier. Since then his body weight had gradually decreased by 20 kg, and there had been intermittent low-grade fever.
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