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  Vol. 246 No. 21, November 27, 1981 TABLE OF CONTENTS
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Tularemia Simulating Acute Myocardial Infarction

E. B. Loftin III, MD
Fairfield (III) Memorial Hospital

JAMA. 1981;246(21):2429-2430.

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

To the Editor.—

We have recently seen a patient with a history and clinical manifestations simulating acute myocardial infarction. Other infectious diseases have been reported to do this (1972;222:87). Recognition of this occurrence is important in areas where potentially lethal diseases are endemic (1971;215:1617).1,2

Report of Cases.—

Our patient was first seen for chest pain in May 1980. His physician diagnosed and treated angina pectoris. From May 1980 to February 1981, the patient remained well.

On the evening of Feb 3, after removal of a rectal polyp by his family physician, the patient experienced substernal chest pressure and pain radiating into the neck and left arm, similar to his chest discomfort of 1980. With new ST-segment elevations in limb leads II and III and in the augmented lead aVF, he was admitted to our intensive care unit. His temperature was 38.0 °C, and the chest roentgenogram was normal. . . . [Full Text PDF of this Article]



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