TRANSIENT PERIODS OF CARDIAC ENLARGEMENT ASSOCIATED WITH HYPERSENSITIVITY TO DIFFERENT ETIOLOGIC AGENTS: REPORT OF A CASE

Abstract

Case Reports1 July 1951TRANSIENT PERIODS OF CARDIAC ENLARGEMENT ASSOCIATED WITH HYPERSENSITIVITY TO DIFFERENT ETIOLOGIC AGENTS: REPORT OF A CASEC. A. MCKINLAY, M.D., F.A.C.P.C. A. MCKINLAY, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-35-1-226 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe development in a young adult of abrupt enlargement of the cardiac silhouette, of signs of pericarditis and of left pleural effusion, occurring transiently in the course of serum sickness, was recently reported1by the writer. The findings were of particular interest because they were considered to be anaphylactic in origin. The occasion for the present report was the fortuitous occurrence in the same individual, at the end of convalescence from serum sickness, of pharyngitis and tonsillitis, which was followed, after a five-day interlude of normal temperature, by a second transient enlargement of the heart. Under close observation, circumstances produced...Bibliography1. McKinlay CA: Allergic carditis, pericarditis and pleurisy; report of case of serum sickness with predominant cardiac manifestations and symptomatic recovery (preliminary report), Journal Lancet 68: 61-65, 1948. Google Scholar2. Vaubel E: Quoted by Rich, A. R.4 Google Scholar3. HallAnderson EMLR: The incidence of rheumatic stigmas in hearts which are usually considered nonrheumatic, Am. Heart Jr. 25: 64-80, 1943. CrossrefGoogle Scholar4. Rich AR: Hypersensitivity in disease with especial reference to periarteritis nodosa, rheumatic fever, disseminated lupus erythematosus and rheumatoid arthritis, Harvey Lect. series xlii, 106-147, 1946-47. Google Scholar5. MooreRidgeHuntingtonHallGriffithKnowles FJGKRWEMGCRG: Production of acute rheumatic-like heart lesions in mice, Proc. Soc. Exper. Biol. and Med. 65: 102-107, 1947. CrossrefMedlineGoogle Scholar6. Swift HF: Article "Rheumatic fever" in Cecil's Textbook of medicine, 2nd Ed., 1930, W. B. Saunders & Company, Philadelphia. Google Scholar7. WadsworthBrown GHCH: Serum reaction complicated by acute carditis, J. Pediat. 17: 801-805, 1940. CrossrefGoogle Scholar8. FoxMesseloff TTCR: Electrocardiographic changes in a case of serum sickness due to tetanus antitoxin, New York State J. Med. 42: 152-154, 1942. Google Scholar9. Lyon E: Allergic myocarditis following use of antirabic vaccine, Cardiologia 12: 183-194, 1947. Abstracted in J. A. M. A. 137: 912, 1948. CrossrefGoogle Scholar10. MathieuHadot LE: Myocardial infarction and angina pectoris during serum sickness, Arch. d. mal. du coeur 40: 328, 1947. Abstracted in Am. Heart J. 36: 151, 1948. Google Scholar11. Storey J: Four cases of carditis occurring in children and associated with administration of foreign serum, M. J. Australia 1: 337-339, 1948. CrossrefMedlineGoogle Scholar12. Clark E: Serum carditis; the morphologic cardiac alterations in man associated with serum disease, J. A. M. A. 110: 1098-1100, 1938. CrossrefGoogle Scholar13. BoyerWeinstein NHL: Diphtheritic myocarditis, New England J. Med. 239: 913-919, 1948. CrossrefMedlineGoogle Scholar14. Ratner B: Allergy, anaphylaxis and immunotherapy, 1943, Williams & Wilkins Co., Baltimore, p. 432. Google Scholar15. RantzBoisvertSpink LAPJWW: Hemolytic streptococcic sore throat: the poststreptococcic state, Arch. Int. Med. 79: 401-435, 1947. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication November 16, 1949.From the Department of Internal Medicine, Northwestern Hospital. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiovascular System 1 July 1951Volume 35, Issue 1Page: 226-233KeywordsConvalescenceHeartHospital medicineHypersensitivityPharyngitisPleural effusionTemperatureYoung adults Issue Published: 1 July 1951 PDF downloadLoading ...