1/70. T wave alternans and acute rheumatic myocarditis: a case report.T wave alternans is an uncommonly recorded cardiac rhythm. We report here an unusual case of a 13-year-old girl with acute rheumatic carditis and acute nephritis, who developed T wave alternans associated with a prolonged QT interval. These electrocardiographic changes were evident only after the initial acute stage of the disease process and should be borne in mind for patients with acute rheumatic carditis as they may be associated with more malignant arrhythmias.- - - - - - - - - - ranking = 1keywords = carditis, myocarditis (Clic here for more details about this article) |
2/70. mycobacterium fortuitum endocarditis and meningitis after balloon mitral valvotomy.Mycobacteria rarely cause endocardial infections. We describe the clinical course of a patient who developed endocarditis, and meningitis with mycobacterium fortuitum following balloon mitral valvotomy. The patient was treated with amikacin and clarithromycin but did not respond. She developed haemolytic anaemia as the terminal event.- - - - - - - - - - ranking = 0.8332460378313keywords = carditis (Clic here for more details about this article) |
3/70. Perforated gastric ulcer complicating corticosteroid therapy in acute rheumatic fever.We report an 11-year-old boy with acute rheumatic fever who presented with gastric perforation while treated with corticosteroids (CS). He had been treated initially with acetylsalicylic acid for 11 days, CS replaced the treatment with acetylsalicylic acid due to deterioration of carditis. The possible pathogenesis is discussed.- - - - - - - - - - ranking = 0.16664920756626keywords = carditis (Clic here for more details about this article) |
4/70. Torsade de pointes in a child with acute rheumatic fever.Ventricular arrhythmias are uncommon in acute rheumatic carditis. We report the case of a child who presented with rheumatic carditis, prolonged corrected QT interval, and torsade de pointes. The episodes of torsade were controlled with beta-blockade and cardiac pacing. The child subsequently died as a result of brain injury; the autopsy revealed classic findings of acute rheumatic carditis.- - - - - - - - - - ranking = 0.49994762269878keywords = carditis (Clic here for more details about this article) |
5/70. endocarditis due to salmonella.We present a case of endocarditis caused by salmonella in a patient with newly diagnosed diabetes and preexisting rheumatic heart disease. Despite sterilization of the blood with a fluoroquinolone and a third-generation cephalosporin, the patient required surgical intervention.- - - - - - - - - - ranking = 0.8332460378313keywords = carditis (Clic here for more details about this article) |
6/70. Calcified left ventricular aneurysm and non-atherosclerotic myocardial infarction in a child.A 14-year-old boy, admitted with intractable chest pain, was found to have an enlarged heart and calcification in the apical region, with electrocardiographic features of massive inferolateral myocardial infarction. Left ventricular angiography revealed a large left ventricular aneurysm. He died following resection of the aneurysm and post mortem examination showed changes of a non-specific chronic myocarditis. A vasculitis involving small coronary arterioles was also found in the vicinity of the aneurysm, and the possibility of a rheumatic vasculitis was suggested by a transient episode of an erythema marginatum-like eruption. It is concluded that the association of infarction pattern on the electrocardiogram together with calcification of the heart in children is highly suggestive of a ventricular aneurysm secondary to a myocarditis or a vasculitis involving small, intramyocardial branches of the coronary arteries.- - - - - - - - - - ranking = 0.33335079243374keywords = carditis, myocarditis (Clic here for more details about this article) |
7/70. Treatment of rheumatic carditis with intravenous gammaglobulin: is there a beneficial effect?Rheumatic carditis is a major manifestation of acute rheumatic fever. Conventional therapy includes the use of salicylates and steroids. To date, however, such therapy has not been proven to have a clear benefit in reducing valvar heart disease. We report the use of high-dose intravenous immunoglobulin in two chidlren with acute rheumatic carditis in whom we have been able to document the beneficial effect.- - - - - - - - - - ranking = 0.99989524539756keywords = carditis (Clic here for more details about this article) |
8/70. Percutaneous transvenous mitral commissurotomy in a patient with prosthetic aortic valve.patients with rheumatic valvular heart disease who have undergone valve surgery may present later with progression of disease in other valves. We report a case of successful percutaneous transvenous mitral commissurotomy (PTMC) in a 58-year-old male who underwent aortic valve replacement (AVR) with a No. 23 Bjork-Shiley valve for severe rheumatic aortic regurgitation in 1982. At AVR, echocardiography revealed mild mitral stenosis (MS) and mitral valve area (MVA) 2.5 cm2. Over 18 years, the mitral valve disease progressed to severe MS and the patient presented with class III exertional dyspnea. He underwent successful PTMC (Inoue balloon technique). Post-procedure echocardiography revealed a MVA of 2.0cm2 and grade II mitral regurgitation. Anticoagulation management, infective endocarditis prophylaxis and procedural modifications are discussed.- - - - - - - - - - ranking = 0.16664920756626keywords = carditis (Clic here for more details about this article) |
9/70. Rheumatic valvulitis and constrictive pericarditis. Report of case.A 13-year-old girl was admitted with congestive heart failure, edema, ascites, and jaundice. There was an apical pansystolic murmur of mitral insufficiency and marked cardiomegaly. Her venous pressure was elevated. Despite medical treatment her condition deteriorated, hepatic and renal failure as well as disseminated intravascular coagulation ensued, leading to her death. At post mortem she was found to have rheumatic mitral valvulitis and constrictive pericarditis. The pathologic picture of pericarditis was nonspecific, but in presence of a positive skin test for tuberculosis the latter is considered to be the most likely cause of the pericarditis, nevertheless, rheumatic etiology of pericarditis in this case cannot be excluded. The presence of rheumatic heart disease and cardiomegaly may have led to the exacerbation of symptoms and signs of constrictive pericarditis and severe right heart failure.- - - - - - - - - - ranking = 1.4998428680963keywords = carditis (Clic here for more details about this article) |
10/70. "Low pressure" left ventricular tamponade in a patient with rheumatic mitral stenosis and hiv-related acute pericarditis.A case report of isolated left ventricular tamponade in a patient with rheumatic mitral stenosis and effusive pericarditis is presented. The haemodynamics and management of this under-diagnosed pathology is discussed.- - - - - - - - - - ranking = 0.8332460378313keywords = carditis (Clic here for more details about this article) |
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