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Extensive investigations for infection were negative, and her symptoms were initially attributed to aspiration pneumonia. The patient gradually deteriorated despite antibiotics and became progressively short of breath, with development of large pleural and pericardial effusions. A diagnosis of postcardiac injury syndrome was made after exclusion of other differentials. The patient recovered well after pleurocentesis, pericardiocentesis and a pericardial window, with resolution of symptoms without further medical therapy.<\/jats:p>","DOI":"10.1136\/bcr-2017-220572","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T14:05:19Z","timestamp":1502460319000},"page":"bcr-2017-220572","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Postcardiac injury syndrome and stroke following permanent pacemaker insertion"],"prefix":"10.1136","volume":"2017","author":[{"given":"Caitlin","family":"Bialy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edmund","family":"Wee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9836-4093","authenticated-orcid":false,"given":"Nizam","family":"Uddin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,11]]},"reference":[{"key":"2025042712282613000_2017.aug10_2.bcr-2017-220572.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.09.052"},{"key":"2025042712282613000_2017.aug10_2.bcr-2017-220572.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2009.04.001"},{"key":"2025042712282613000_2017.aug10_2.bcr-2017-220572.3","first-page":"599","article-title":"Pericarditis following permanent pacemaker insertion","volume":"6","author":"Levy","year":"2004","journal-title":"Isr Med Assoc J"},{"key":"2025042712282613000_2017.aug10_2.bcr-2017-220572.4","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.ijcard.2014.03.170","article-title":"Post-cardiac injury syndrome after permanent electronic cardiac device implantation. 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