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Acute extensive myocardial calcification
  1. Yair Glick1,
  2. Ina Dubin2,
  3. Amichai Schattner2,3
  1. 1Department of Imaging, Laniado Hospital, Sanz Medical Centre, Netanya, Israel
  2. 2Department of Internal Medicine, Laniado Hospital, Sanz Medical Centre, Netanya, Israel
  3. 3Faculty of Medicine, Hebrew University Hadassah Medical School, Yerushalayim, Israel
  1. Correspondence to Professor Amichai Schattner, Hebrew University Hadassah Medical School, Jerusalem 91120, Israel; amischatt{at}gmail.com

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Case history: A 45-year-old man with a history of severe haemophilia A, multiple transfusions and associated hepatitis C and HIV infections (untreated by choice, last CD4 count 238/mm3 3 years prior) presented with worsening shortness of breath, cough and fever. Severe dyspnoea (respiratory rate 46/min), tachycardia (139/min) and hypoxaemia (oxygen saturation 80%) with bilateral alveolar infiltrates on mobile chest film necessitated immediate intubation. He was admitted to the intensive care unit, where shock, anuria, hypoglycaemia and jaundice soon developed. Blood cultures grew …

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Footnotes

  • Contributors All authors treated the patient and prepared the manuscript, primarily written by AS, and YG prepared and interpreted the images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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