Abstract

A 36-year-old man presented to the emergency department with a symptom of left-sided chest pain, which began 3 days before presentation. The pain was initially noticeable with deep inspiration but had progressed to a constant sharp ache and was exacerbated by motion. There were no constitutional symptoms or dyspnea. Physical examination was unremarkable. An electrocardiogram (EKG) revealed diffuse ST-segment elevations and subtle PR-segment depressions (Figure 1). Complete blood count, serum chemistries, erythrocyte sedimentation rate, and cardiac biomarkers were unremarkable.

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