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BMJ Case Reports 2017; doi:10.1136/bcr-2017-219949
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Primary pericardial mesothelioma and asbestos exposure: a rare fatal disease

  1. Rosa Ribeiro4
  1. 1 Internal Medicine, Hospital Geral de Santo Antonio SA, Porto, Portugal
  2. 2 Internal Medicine, Hospital Geral de Santo Antonio SA, Porto, Portugal
  3. 3 Internal Medicine, Hospital Geral de Santo Antonio SA, Porto, Portugal
  4. 4 Internal Medicine, Hospital Geral de Santo Antonio SA, Porto, Portugal
  1. Correspondence to Dr Diana Maria Monteiro Freitas, di.monteiro.freitas{at}gmail.com
  • Accepted 23 March 2017
  • Published 12 May 2017

Description

A 73-year-old woman without a history of cardiovascular disease was admitted to the hospital with progressive dyspnoea on exertion during the past several weeks, bilateral lower extremity oedema, orthopnoea and paroxistic nocturnal dyspnoea. She lived a few metres away from a badly preserved building containing asbestos for 50 years. Estimated jugular venous pressure was 6+5 cm H2O, a pericardial friction rub was heard, bilateral basal lung crackles were present and symmetrical below-knee pitting oedema was seen. Probrain natriuretic peptide was 2304 pg/mL, and chest radiograph showed a globular cardiac silhouette and blunting …

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