1/5. Acute rheumatic fever without early carditis: an atypical clinical presentation.The original Jones criteria, first introduced in 1944, have been modified four times and updated-revised criteria were published in 1992. A variety of clinical manifestations, which may be the presenting signs and symptoms of acute rheumatic fever, are not included in the updated-revised Jones criteria. A retrospective study was conducted on all children previously diagnosed to have acute rheumatic fever between September 1998 and September 2002. review was focused on clinical presentation; out of 60 medical records reviewed, 4 patients with unusual clinical presentation were recognised and are reported here to highlight the potential diagnostic problems of acute rheumatic fever. They presented with atypical articular involvement, silent carditis and low-grade fever in the presence some time of a positive family history for rheumatic fever. CONCLUSION:a high index of suspicion and an awareness of the absence of early carditis are necessary to make the diagnosis of acute rheumatic fever.- - - - - - - - - - ranking = 1keywords = carditis (Clic here for more details about this article) |
2/5. Reactive arthritis due to salmonella enteritidis complicated by carditis.Reactive arthritis following infection with enteropathogenic bacteria is usually a self-limiting disease that disappears after a few months without sequela. We describe two girls who developed carditis shortly after the onset of reactive arthritis due to infection with salmonella enteritidis. The carditis presented with fatigue and arrhythmia and involved the aortic valve in both patients leading to definite aortic regurgitation in one. A similar pattern of cardiac involvement is found in other spondyloarthropathies, including Reiter's syndrome and ankylosing spondylitis. We conclude that Salmonella reactive arthritis may be complicated by carditis.- - - - - - - - - - ranking = 1.1666666666667keywords = carditis (Clic here for more details about this article) |
3/5. pneumonia, myocarditis and reactive arthritis due to chlamydia pneumoniae.A 37 year old HLA B27 negative man developed erythema nodosum, pneumonia, myocarditis and oligoarthritis due to chlamydia pneumoniae. He recovered completely over a four month period. This is the first clinical description of reactive arthritis caused by C. pneumoniae.- - - - - - - - - - ranking = 0.83333333333333keywords = carditis (Clic here for more details about this article) |
4/5. Poststreptococcal reactive rheumatic syndrome.Poststreptococcal reactive arthritis remains a poorly recognized clinical entity that is rarely considered in adults. We describe a case of poststreptococcal rheumatic syndrome in a 63-year-old woman to highlight that prolonged bone pain, night sweats, arthralgia, and laboratory evidence of active inflammation may be the principal manifestations, and that it may occur even in elderly patients. Poststreptococcal rheumatic manifestations can be viewed as a continuum extending from acute rheumatic fever with or without carditis to poststreptococcal reactive rheumatic syndrome with either reactive arthritis or systemic symptoms predominating.- - - - - - - - - - ranking = 0.16666666666667keywords = carditis (Clic here for more details about this article) |
5/5. The co-occurrence of acute rheumatic fever and AIDS.We describe a patient with advanced acquired immunodeficiency syndrome (AIDS) who presented with evidence of carditis, arthritis, and chorea in the setting of fever, and serologic evidence for recent streptococcal infection. Several features atypical for rheumatic fever were present and included persistently high titer of antistreptolysin O, the simultaneous occurrence of chorea and arthritis, and the presence of chorea in a sexually mature adult man. The differential diagnosis of arthritis in a host at risk for human immunodeficiency virus should be expanded to include acute rheumatic fever, which may manifest atypical features.- - - - - - - - - - ranking = 0.16666666666667keywords = carditis (Clic here for more details about this article) |