Volume 21, Issue 120 (6-2014)                   RJMS 2014, 21(120): 76-82 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Marashi S M, Sabouni F, Ziaee V, Nasri Nasrabadi Z. Acute rheumatic fever presented with poly-arthritis: a case report. RJMS 2014; 21 (120) :76-82
URL: http://rjms.iums.ac.ir/article-1-3149-en.html
Tehran University of Medical Sciences
Abstract:   (10324 Views)

Acute rheumatic fever (ARF) is a complication of group A streptococcus infection. Despite a considerable prevalence diminish especially in modern countries in recent years, it is reported occasionally throughout the world. Unfortunately, this decline in incidence and non-specific presentations may cause physicians not to consider the ARF in differential diagnosis.

A 7 years old girl was admitted to our clinic with a high fever, low back pain and bilateral ankle arthralgia. She had no history of severe diseases and her immunization schedule was complete. On physical examination, she had tachycardia and temperature of 39.7 degrees C. Her initial laboratory tests revealed considerable leukocytosis, increase in C-reactive protein, erythrocyte sedimentation rate and anti-streptolysin O titer. Only prednisolone was used to subside acute myocarditis. One day after initiation of corticosteroid therapy, her temperature significantly decreased and her articular pain was resolved. She was discharged with full recovery on day 7 and prophylactic treatment with Benzathine penicillin injection was recommended.

Despite declining incidence of ARF, because of tendency to develop persistent cardiac valve involvement, it must be considerd as one of the most significant disorders in pediatric practice.

Full-Text [PDF 540 kb]   (6938 Downloads)    
Type of Study: case report | Subject: Rheumatology

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC-SA 4.0 | Razi Journal of Medical Sciences

Designed & Developed by : Yektaweb