Published: 18 December 2016
Author(s): Avash Das, Arjun Gupta, Saumya Das
Section: Internal Medicine Flashcard

A 31-year-old Caucasian man presented to the emergency department with sudden onset fever, chills and chest, pain two weeks after completing induction chemotherapy for acute myelogenous leukemia. Vitals were notable for tachycardia (heart rate 112/min), tachypnea (respiratory rate 26/min) and a temperature of 39.2°C (102.6°F). Laboratory analysis revealed leukopenia with an absolute neutrophil count of 320/μL. An electrocardiogram was performed (Fig. 1) which demonstrates >2mm ST segment elevation in leads V1–V3 accompanied by downward sloping of the ST segment in leads V1–V3 (coved ST segment, especially in V1) and inverted T-waves in the corresponding leads.

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