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August 1957

Tularemic Pericarditis

Author Affiliations

Columbia, S. C.

From the Medical Service, Veterans' Administration Hospital; Dr. S. L. Zimmerman, Chief.

AMA Arch Intern Med. 1957;100(2):300-304. doi:10.1001/archinte.1957.00260080126025

Since Meredith's 1 review of the literature and his report of two cases of tularemic pericarditis in 1950, only 2 additional cases have been recorded, making a total of 16 that a reasonably careful perusal of the literature has revealed. Two of this group were treated with streptomycin, one of whom survived 1; the other was treated unsuccessfully but finally responded to chlortetracycline (Aureomycin).2 The patient to be described apparently is the 17th case and the second one successfully treated with streptomycin. In view of the relative rarity of the entity and the survival of the patient we believe the reporting of an isolated case appears justifiable.

Report of Case  A 42-year-old white male plumber was admitted to the hospital on July 5, 1951, because of substernal chest pain, aggravated by movement and respiration, of five weeks' duration. During the two weeks prior to admission he had a low-grade

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