An Uncommon Mimic of Acute Coronary Syndrome: Infiltrating Non-Hodgkins Lymphoma

A 73-year-old man presented with a 4-hour history of substernal chest pain, dyspnea, nausea, and emesis. His past medical history included diabetes mellitus type II, coronary artery disease with single-vessel coronary artery bypass grafting, hyperlipidemia, chronic kidney disease stage 3 due to membranoproliferative glomerulonephritis, and a 25-pound unintentional weight loss over the past 3 months. On presentation, he was hypotensive, with blood pressure 90/68 mm Hg. Physical examination showed bibasilar crackles,prominent pulmonic heart sound, and bilateral lower-extremity pitting edema.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research