This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor:—
On the afternoon of Oct 7, 1964, a robust 50-year-old white male was brought by ambulance to the emergency room complaining of sharp right anterior chest pain preceded by cough and bloody sputum, followed later by constricting substernal chest pain with radiation into the left arm. He allegedly experienced these symptoms while working on a moving van. He offered a history of recent thrombophlebitis. Severe varicosities, swelling of both legs, stasis dermatitis, and an ecchymotic area of swelling and tenderness in the left groin were noted. He appeared to be in acute respiratory distress but demonstrated no cyanosis.The patient was given meperidine (Demerol) hydrochloride while an electrocardiogram and portable chest x-ray were done; both were negative. Both deltoids and both gluteal regions were markedly indurated, seemingly due to multiple injections. The patient explained that he had received Depo-Heparin sodium by a previous physician. Later, a massive
Ringler H. Leo Lamphere. JAMA. 1964;190(13):1137. doi:10.1001/jama.1964.03070260049022
Customize your JAMA Network experience by selecting one or more topics from the list below.