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While mediastinal abscess following trauma probably occurs infrequently enough to justify an individual report, the case under consideration challenges particular attention because of an associated acute arterial hypertension. Not only did hypertension of pronounced intensity of both systolic and diastolic phases develop directly and coincidentally with the process, but there was a gradual fall to normal limits as healing occurred. No similar instance was found in a rather extensive search through the medical literature. The implications as to the theory of the etiology of essential or nonrenal hypertension stimulate the imagination, although admittedly an acceptable rationalization may elude us at this time.
REPORT OF A CASE
—A man, single, aged 21, a student and a member of the football squad, was admitted to the University Hospital on Friday, Sept. 23, 1932, with a complaint of pain in the chest, a chilly sensation and fever. The pain followed an injury
McKINLAY CA, KINSELLA TJ, RADL RB. ACUTE ESSENTIAL HYPERTENSION PRECIPITATED BY MEDIASTINAL ABSCESS. Arch Intern Med (Chic). 1934;54(4):645-655. doi:10.1001/archinte.1934.00160160164010