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Radiological Case of the Month FREE

John L. Gwinn, MD; Fred A. Lee, MD; Robert H. Laird, MD; William B. Wadlington, MD
[+] Author Affiliations

Accepted for publication June 28.

Reprint requests to Children's Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles 90054 (Dr. Gwinn).


Am J Dis Child. 1974;127(1):89-90. doi:10.1001/archpedi.1974.02110200091013.
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Clinical History.—This 11-year-old white girl was first seen in consultation because of "calcium around her heart." She had been hospitalized because of three days of cough and high fever. She had not had chest pain, shortness of breath or symptoms of cardiac failure. Her family and personal history were not remarkable.

Physical Examination.—Her examination was normal except for a few rhonchi bilaterally. No murmurs, rubs, or irregular rhythm were noted on heart examination. Blood pressure was 120/80 mm Hg. Her liver could not be felt. The clinical impression was viral bronchitis.

Laboratory Data.—Her antistreptolysin O titer, febrile agglutinins, blood cultures, electrolyte values, sputum cultures, and blood counts were normal. Her old tuberculin skin test was negative, but the histoplasmosis skin test showed 12 mm of redness and induration. The histoplasmosis complement fixation was 1:80. The electrocardiogram was normal.

Interval Note.—The patient was lost to followup for

REFERENCES

Simcha A, Taylor JFN:  Constrictive pericarditis in childhood . Arch Dis Child 46:515-519, 1971;.
Gallet M, et al:  Nonconstrictive calcified pericarditis revealed 22 years after a thoracic trauma . Lyon Med 224:931-935, 1970;.
Broder AC, et al:  Histoplasmosis producing vegetative endocarditis: Review of literature with report of a case . JAMA 122:489-492, 1943;.
Billings FT Jr, Couch OA Jr:  Pericardial calcification and histoplasmin sensitivity . Ann Intern Med 42:654-658, 1955;.
Hurwitz JK, Pastor BH:  Pericardial calcification associated with histoplasmosis . N Engl J Med 260:543-544, 1959;.
McNerney JJ:  Histoplasmin sensitivity associated with pericardial calcification . Am Heart J 52:609-611, 1956;.
Pieroni DR, et al:  Echocardiographic diagnosis of septic pericarditis in infancy . J Pediatr 82:689-691, 1973;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Simcha A, Taylor JFN:  Constrictive pericarditis in childhood . Arch Dis Child 46:515-519, 1971;.
Gallet M, et al:  Nonconstrictive calcified pericarditis revealed 22 years after a thoracic trauma . Lyon Med 224:931-935, 1970;.
Broder AC, et al:  Histoplasmosis producing vegetative endocarditis: Review of literature with report of a case . JAMA 122:489-492, 1943;.
Billings FT Jr, Couch OA Jr:  Pericardial calcification and histoplasmin sensitivity . Ann Intern Med 42:654-658, 1955;.
Hurwitz JK, Pastor BH:  Pericardial calcification associated with histoplasmosis . N Engl J Med 260:543-544, 1959;.
McNerney JJ:  Histoplasmin sensitivity associated with pericardial calcification . Am Heart J 52:609-611, 1956;.
Pieroni DR, et al:  Echocardiographic diagnosis of septic pericarditis in infancy . J Pediatr 82:689-691, 1973;.

Correspondence

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