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Her clinical status improved rapidly and she recovered without sequelae. Bedside transthoracic echocardiography showed no acute ventricular dilation or dysfunction, and the patient was transferred to another hospital for hyperbaric oxygen therapy. The patient returned to our hospital after two days, and was discharged home three days later. The authors declare that no experiments were performed on humans or animals for this study. The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study. The authors have obtained the written informed consent of the patients or subjects mentioned http://www.selleck.cn/products/azd6738.html in the article. The corresponding author is in possession of this document. The authors have no conflicts of interest to declare. ""Homem, 58 anos, imunocompetente, antecedentes pessoais de ��lcera p��ptica e hipotens?o ortost��tica. Referenciado para internamento por cardiologista assistente. Tinha iniciado um m��s antes dor tor��cica pleur��tica, febre (m��ximo de 38,5?��C), anorexia e derrame peric��rdico (12?mm). Realizara seis dias de ��cido acetilsalic��lico (1?g 6/6?h) por poss��vel pericardite, sem melhoria. Na admiss?o hospitalar destacavam�\se ainda ortopneia com hipoxemia (pO2?=?59,5?mmHg, em ar ambiente), derrame pleural bilateral (exsudado com predom��nio de c��lulas linfocit��rias), anemia normocitica normocr��mica http://www.selleckchem.com/products/pf-562271.html (hemoglobina?=?11,5?g/dL), PCR?=?19,2?mg/dL e VS?=?120?mm/h. O eletrocardiograma evidenciava ritmo sinusal e diminui??o difusa da voltagem. Internado para esclarecimento do quadro foi institu��da terap��utica de http://www.selleckchem.com/products/VX-765.html suporte com paracetamol em caso de febre, oxig��nio suplementar e cinesioterapia respirat��ria. Dois dias depois novo ecocardiograma revelou filamentos de fibrina organizados em ?teia de aranha? (Figura 1). Foi submetido a pericardiocentese; a bi��psia mostrou infiltrado inflamat��rio e fibrina (Figura 2). As serologias foram positivas para parvov��rus B19: IgM?=?6,04?Ua/mL (
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