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Previous Volume 353:934-939 September 1, 2005 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 24-year-old sailor presented to the emergency department describing a seven-day history of shortness of breath, occasional substernal chest pain, increasing abdominal girth, and nausea and vomiting. He reported that his legs had swelled and he had gained 14 kg (31 lb) during the previous three weeks, when he had been sailing from the Caribbean to Nantucket Island. He reported that before the onset of these symptoms, he had been in his usual state of good health. He used no medications. He had had no known contact with sick persons and no known exposure to tuberculosis, and he had no . . . [Full Text of this Article]

Commentary

Source Information

From the Divisions of Cardiology (D.S.P.), Infectious Diseases (B.M.B.), and Pulmonary and Critical Care Medicine (R.M.S.), and the Department of Medicine (C.C.S.), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston.

Address reprint requests to Dr. Pinto at the Interventional Cardiology Section, Beth Israel Deaconess Medical Center, 185 Pilgrim Rd., Boston, MA 02215, or at dpinto@bidmc.harvard.edu.

Related Letters:

A Sailor's Heartbreak
Daniels L. B., Krummen D., Pinto D. S., Blair B. M., Smith C. C.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:2408-2409, Dec 1, 2005. Correspondence

This article has been cited by other articles:

• Daniels, L. B., Krummen, D., Pinto, D. S., Blair, B. M., Smith, C. C. (2005). A sailor's heartbreak.. NEJM 353: 2408-2409 [Full Text]