An 81-year-old woman with mitral regurgitation and a left-upper-lobe pulmonary infiltrate

Article Abstract:

An 81-year-old woman with shortness of breath was found to have a lung hemorrhage caused by the poor functioning of an artificial valve in her heart. Upon hospital admission, her heart was enlarged because blood was flowing backward through the artificial mitral-valve. This backflow caused an increase in blood pressure around her lungs and the build-up of lung fluid. After 2 weeks in the hospital, her lungs were clear, but she had enlarged lymph nodes in her chest and calcium deposits in her blood vessels and mitral-valve. Various cancers and diseases of the lymph system were ruled out, and she was found to have a lung hemorrhage. Her artificial valve was replaced and she left the hospital 27 days later in good condition.

Author: Mark, Eugene J., Hales, Charles A.
Pulmonary edema

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A 51-year-old man with myelodysplasia and a pulmonary infiltrate

Article Abstract:

A 51-year-old man was admitted to a hospital with anemia, fever and shortness of breath. CT imaging of the chest revealed fluid in his lungs and enlarged lymph nodes. He was diagnosed with myelodysplastic syndrome, which is characterized by a decrease in blood levels of one or more blood cell lines. No infectious agent was isolated from blood or urine and he did not respond to antibiotics. An open-lung biopsy revealed an inflammation of the lungs called interstitial pneumonitis. He was given a bone marrow transplant when his condition deteriorated but he had a severe reaction and died 18 days later.

Author: Mark, Eugene J., Hayes, Gerard B.
Anemia, Diagnosis, Pulmonary fibrosis

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A 34-year-old man with new mitral regurgitation after aortic-valve replacement for bacterial endocarditis

Article Abstract:

A 34-year-old man with a history of intravenous drug abuse was admitted to a hospital with shortness of breath and mitral valve disease. He had a history of a heart infection called bacterial endocarditis, which can be caused by intravenous drug use. His aortic valve had been replaced four months before. Ultrasound scans showed that the papillary muscles that support the mitral valve were not functioning properly. His symptoms worsened and his mitral valve was replaced twice due to repeated endocarditis. He died from septic shock.

Author: Mark, Eugene J., Narula, Navneet, O'Gara, Patrick T.
Health aspects, Complications and side effects, Drug addicts, Drug abusers, Endocarditis, Bacterial, Bacterial endocarditis

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Subjects list: Case studies, Mitral valve insufficiency
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