Difficulties in the differential diagnosis between Takayasu arteritis and rheumatic fever: case report

Acute rheumatic fever is a delayed inflammatory disease that follows streptococcal infection of the throat. Poststreptococcal reactive arthritis is a sterile arthritis associated with antecedent streptococcal infection in patients not fulfilling the Jones criteria for acute rheumatic fever. Poststreptococcal reactive arthritis has been reported to have lower-extremity predominance and, therefore, should be included in the differential diagnosis of patients with lower-extremity arthritis. A review of the literature, distinguishing poststreptococcal reactive arthritis from acute rheumatic fever, and treatment options are discussed here. A case report is also presented. (J Am Podiatr Med Assoc 96(4): 362–366, 2006)

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Spotted fever: case report

Residência Pediátrica ◽

10.25060/residpediatr-2020.v10n3-82 ◽

2020 ◽

Vol 10 (3) ◽

Author(s):

Thais Wyatt ◽

Manoella Carrera ◽

Thaís Lacerda ◽

Janinne Rocha ◽

Bárbara Pinto ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Rural Area ◽

Pediatric Patient ◽

Indirect Immunofluorescence ◽

Clinical Symptoms ◽

Spotted Fever ◽

Immunofluorescence Test ◽

Fever Case ◽

Indirect Immunofluorescence Test

Spotted fever is a severe and emergent zoonosis caused by Rickettsia and transmitted by ticks, it can be fatal if not diagnosed and treated in the begging of clinical symptoms. The following report is the description of a case of a pediatric patient residing in a rural area in the countryside of the state of Espírito Santo, Brazil, with spotted fever presenting unfavorable evolution. The diagnosis was confirmed by the indirect immunofluorescence test after death. Considering the high lethality and prevalence of the disease in the southeastern and southern regions of Brazil, this differential diagnosis should be considered in the presence of symptomatology and epidemiology suggestive of this disease, in order to reduce the morbidity and mortality of the affected population.

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Takayasu Arteritis Presenting as Unexplained Pulmonary Consolidation: A Case Report

Vascular and Endovascular Surgery ◽

10.1177/1538574418775186 ◽

2018 ◽

Vol 52 (7) ◽

pp. 579-582

Author(s):

Hirofumi Koike ◽

Kazuto Ashizawa ◽

Hideyuki Hayashi ◽

Ichiro Sakamoto ◽

Shigeki Nakamura ◽

...

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Case Report ◽

Young Women ◽

Takayasu Arteritis ◽

Pulmonary Consolidation ◽

Contrast Enhanced ◽

Right Pulmonary Artery ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Although Takayasu arteritis (TA) is rare as a form of chronic inflammatory arteritis, it is important that it is diagnosed early because the 10-year survival rate is only 84% to 87%. Many reported patients have been young women in East Asia. We report a case of a young woman who originally presented with unexplained pulmonary consolidation. Five years later, contrast-enhanced computed tomography (CT) imaging showed thickening of the walls of the aorta and its branches and of the main and right pulmonary artery (PA), and occlusion of the left subclavian and left PAs. A diagnosis of TA was made based on these CT findings. Patients with TA often have PA involvement, and this can be the initial site of arteritis. Therefore, TA should be included in the differential diagnosis of young women with unexplained pulmonary consolidation.

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Complete Atrioventricular Block Cause Syncope and Transient Pacemaker Treatment in Acute Rheumatic Fever: Case Report

Türk Pediatri Arşivi ◽

10.5152/tpa.2016.4014 ◽

2016 ◽

Author(s):

Mustafa Argun ◽

Ali Baykan ◽

Abdullah Ozyurt ◽

Ozge Pamukcu ◽

Kazim Uzum ◽

...

Keyword(s):

Case Report ◽

Rheumatic Fever ◽

Atrioventricular Block ◽

Acute Rheumatic Fever ◽

Complete Atrioventricular Block ◽

Fever Case ◽

Complete Atrioventricular

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Takayasu’s Arteritis with Subcutaneous Nodules in a 4-year -old Child: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.5387 ◽

2020 ◽

Vol 58 (231) ◽

Author(s):

Sunil Kumar Das ◽

Aakrit Dahal ◽

Nikhil Shrestha ◽

Sajal Tnawanasu ◽

Subash Sharma

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Acute Phase ◽

Takayasu Arteritis ◽

Oral Corticosteroid ◽

Takayasu’S Arteritis ◽

Subcutaneous Nodule ◽

Takayasu's Arteritis ◽

Acute Phase Reactants ◽

Subcutaneous Nodules

A 4-year-old girl who presented with pain in the abdomen, subcutaneous nodule, fever and was later diagnosed with Takayasu arteritis . Oral corticosteroid and methotrexate were started. Childhood TA should be kept in differential diagnosis when presented with subcutaneous nodules and increased acute phase reactants.

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