Case 38201

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Abstract
Presentation of CaseA twenty-four-year-old woman was admitted to the hospital because of abdominal swelling and fever.Eleven months before entry, the patient had noted the gradual onset of swelling of the legs and abdomen. With this she developed mild exertional dyspnea and a fairly severe nonproductive cough. Four months before admission a diagnosis of acute rheumatic fever was entertained by her physician and she was given digitalis; this produced complete relief of the dyspnea, edema and ascites, which had been becoming progressively worse. However, one month later these symptoms recurred; four blood cultures taken at this time were negative. . . .
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