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General Medicine General ca97f4ea

Three weeks after surgery to implant a mechanical aortic valve, a 70-year-old man develops chest pain, fever, and leukocytosis. On examination, the JVP is increased, there is a mechanical S2 sound, and a pericardial friction rub. Which of the following is the most likely diagnosis?

A
infection in the aortic valve
B
post pericardiotomy syndrome
C
cytomegalovirus (CMV) infection
D
pulmonary embolism

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