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Robert J. Cihak, MD

JAMA. 1970;211(3):489-491.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR. EDWARD H. ELISCU: This 30-year-old Negro woman was admitted to another hospital on Dec 6, 1968. She had been in good health until the day before admission when she experienced sudden onset of bounding pulses in her neck while climbing stairs; this was followed by dyspnea and precordial pain. There was no history of rheumatic fever or of recent fever, chills, trauma, or dental work.

Physical examination at that time revealed a temperature of 101 F (38.3 C), blood pressure 110/60 mm Hg, and a rumbling, continuous murmur at the lower left sternal border. She remained febrile, despite treatment with several antibiotics. Hematocrit value dropped from 42% at the time of admission to 26%, with reticulocytes accounting for 8% of the erythrocytes.

Discussion

DR. LAURENCE L. ROBBINS: Dr. Forrester, do you have any ideas about this case?

DR. DEBORAH M. FORRESTER: At the time of the examination in March . . . [Full Text PDF of this Article]

Author Affiliations
From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

Footnotes
Reprint requests to Massachusetts General Hospital, Boston 02114 (Dr. Laurence L. Robbins).

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