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Two unusual presentations of acute rheumatic fever

Published online by Cambridge University Press:  16 September 2005

Serdar Kula ,
Rana Olguntürk  and
Osman Özdemir
Serdar Kula
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Besevler, Ankara, Turkey
Rana Olguntürk
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Besevler, Ankara, Turkey
Osman Özdemir
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Besevler, Ankara, Turkey
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Abstract

Patients with acute rheumatic fever sometimes present with atypical signs and symptoms. In these circumstances, the Jones criterions may not be sufficient to make a clinical diagnosis. We describe here two patients with unusual presentations, highlighting that, both in regions where the disease is endemic, or where it is seen only sporadically, physicians should be more alert and careful in making the diagnosis.

Keywords

Acute rheumatismabdominal painheart block
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 5 , October 2005 , pp. 514 - 516
Copyright
© 2005 Cambridge University Press

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References

Ayoub E. Acute rheumatic fever. In: FH Adams (ed.). Heart Disease in Infants, Children and Adolescents, Vol 2, 6th edn. Williams & Wilkins, Baltimore, 2000, pp 1226–1241.
Ganea GR. Index of suspicion. Case 1. Acute rheumatic fever. Pediatr Rev 1997; 18: 283–285.Google Scholar
Ferrieri P. Acute rheumatic fever, the come-back of a disappearing disease. Am J Dis Child 1987; 141: 725–727.Google Scholar
Olgunturk R, Aydin GB, Tunaoglu FS, Akalin N. Rheumatic heart disease prevalence among school children in Ankara, Turkey. Turk J Pediatr 1999; 41: 201–206.Google Scholar
Dajani AS, Ayoub E, Bierman FZ, et al. Guidelines for the diagnosis of rheumatic fever: Jones Criteria, updated 1992. Circulation 1993; 87: 302–307.Google Scholar
Kula S, Saygili A, Tunaoglu FS, Olgunturk R. Acute poststreptococcal glomerulonephritis and acute rheumatic fever in the same patient: a case report and review of the literature. Anadolu Kardiyol Derg 2003; 3: 272–274.Google Scholar
Giraldi J. Abdominal symptoms in acute rheumatism. Arch Dis Child 1930; 5: 379–381.Google Scholar
Picard E, Gedalia A, Benmeir P, Zucker N, Barki Y. Abdominal pain with free peritoneal fluid detected by ultrasonography as a presenting manifestation of acute rheumatic fever. Ann Rheum Dis 1992; 51: 394–395.Google Scholar
Zalzstein E, Maor R, Zucker N, Katz A. Advanced atrioventricular conduction block in acute rheumatic fever. Cardiol Young 2003; 13: 506–508.Google Scholar
Reddy DV, Chun LT, Yamamoto LG. Acute rheumatic fever with advanced degree AV block. Clin Pediatr (Phila) 1989; 28: 326–328.Google Scholar