Case 36411

Abstract

Presentation of Case First admission. A forty-five-year-old man entered the hospital complaining of pain in the left flank.The patient had one attack of rheumatic fever at the age of six, following which a heart murmur was repeatedly heard. At the age of eighteen he began to have four or five attacks of bronchial asthma each year and developed chronic wheezing and dyspnea. For many years he had slept on two pillows. He habitually took a very poor diet and until one year before admission drank "three fifths" of whisky each week. Two years prior to entry he had . . .