1. Dressler's syndrome: are we underdiagnosing what we think to be rare?
- Author
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Campos ID, Salgado A, Azevedo P, and Vieira C
- Subjects
- Aftercare, Anemia, Hemolytic, Autoimmune blood, Anemia, Hemolytic, Autoimmune drug therapy, Anti-Inflammatory Agents therapeutic use, Diagnosis, Differential, Electrocardiography, Humans, Male, Middle Aged, Myocardial Infarction metabolism, Pericardial Effusion diagnostic imaging, Pericarditis diagnostic imaging, Pericarditis etiology, Treatment Outcome, Anemia, Hemolytic, Autoimmune diagnosis, Anemia, Hemolytic, Autoimmune physiopathology, Pericardial Effusion etiology
- Abstract
A 46-year-old man was admitted to the emergency department with fever and pleuritic thoracic pain. Six weeks prior to admission, the patient had undergone cardiac surgery. The ECG showed diffuse ST segment elevation and PR segment depression. The blood tests revealed increased inflammatory markers and negative myocardial necrosis markers. Pericardial and left-sided pleural effusion were noted. Sterile blood cultures were negative. Hence, the hypothesis of Dressler's syndrome was established. The patient improved clinically and analytically with a short course of anti-inflammatory therapy and was discharged with colchicine and acetylsalicylic acid. A thoracic radiography performed 2 months after showed complete remission of pleural effusion., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.) more...
- Published
- 2019
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