scholarly journals Acute Rheumatic Activity in a 49 year old Nepalese adult with established Rheumatic heart Disease: a case report

2016 ◽  
Vol 13 (2) ◽  
pp. 39-40
Author(s):  
Anish Hirachan ◽  
Reeju Manandhar ◽  
Madhu Roka ◽  
Deewakar Sharma
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Case Reports ◽  
High Dose ◽  
Dramatic Improvement ◽  
Severe Aortic Regurgitation ◽  
History Of ◽  
Migratory Polyarthritis ◽  
Rheumatic Heart

Rheumatic fever presenting late in adult beyond 25 years of age is a rare but common phenomena and noted in various case reports .The diagnosis of rheumatic activity is based on the same modified Jones criteria for rheumatic fever and rheumatic heart disease. Here we describe a 49 year old male , known rheumatic heart disease with severe aortic regurgitation and post aortic valve replacement who presented with fever and migratory polyarthritis along with history of preceding sore throat 2 weeks prior to this illness . He was managed with high dose of aspirin therapy along with oral penicillin after which he had dramatic improvement in his symptomatology and was discharged with good recovery.Nepalese Heart Journal 2016; 13(2): 39-40

Decreasing Incidence of a History of Acute Rheumatic Fever in Chronic Rheumatic Heart Disease

Cardiology ◽  
1968 ◽  
Vol 53 (6) ◽  
pp. 332-340 ◽  
Author(s):  
P. Vendsborg ◽  
Fauerholdt Hansen ◽  
K.H. Olesen
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Acute Rheumatic Fever ◽  
History Of ◽  
Rheumatic Heart

scholarly journals The Natural History of Rheumatic Fever and Rheumatic Heart Disease in the Orient

1979 ◽  
Vol 20 (3) ◽  
pp. 237-252 ◽  
Author(s):  
Hung-Chi LUE ◽  
Chiung-Lin CHEN ◽  
Huoyao WEI ◽  
Masahiko OKUNI ◽  
Luis M. MABILANGAN ◽  
...  
Keyword(s):  
Heart Disease ◽  
Natural History ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
History Of ◽  
Rheumatic Heart

scholarly journals Sickle cell Anemia with avascular necrosis of femur being managed as rheumatic fever

2013 ◽  
Vol 34 (1) ◽  
pp. 37-39
Author(s):  
KS Lamsal
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Avascular Necrosis ◽  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Case Reports ◽  
Institute Of Medicine ◽  
History Of ◽  
Penicillin Prophylaxis ◽  
Rheumatic Heart

Sickle cell anemia is a rare hematological problem in Nepal and described only in the forms of case reports. This is a case report of a patient of sickle cell disease from Nawalparasi district of Nepal. The patient had history of recurrent joint pain including both large and small joints. He also had soft systolic murmur in cardiac auscultation for which he had received penicillin prophylaxis three years for clinically suspected rheumatic heart disease. He was later diagnosed to have Sickle cell anemia with avascular necrosis of right femoral head and functional murmur of severe anemia with no evidence of rheumatic heart disease. DOI: http://dx.doi.org/10.3126/joim.v34i1.9121 Journal of Institute of Medicine, April, 2012; 34:1 37-39

RHEUMATIC FEVER: THE PROBLEM OF DIAGNOSIS BASED ON INSUFFICIENT EVIDENCE

PEDIATRICS ◽  
1963 ◽  
Vol 31 (6) ◽  
pp. 969-974
Author(s):  
Norman S. Blackman
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Critical Evaluation ◽  
Signs And Symptoms ◽  
History Of ◽  
Intelligent Management ◽  
Criteria For Diagnosis ◽  
Referring Physicians ◽  
Rheumatic Heart

In 100 patients referred for consultation with a history of rheumatic fever and/or rheumatic heart disease, only 65 had a history of signs and symptoms sufficient to satisfy the modified Jones' criteria, used for guidance in the diagnosis of rheumatic fever. Moreover in patients without evidence of rheumatic heart disease referred because of a supposed history of rheumatic fever, the diagnosis could not be justified in one of every four children in this study. Many of the important manifestations of rheumatic fever do not require technical knowledge but merely interested and intelligent observation. The parents were found to be the most available and often the best source of information concerning a description of the manifestations of a previous episode of rheumatic fever. It is evident that the modified Jones' criteria are not being sufficiently used by the referring physicians as a guide in making a diagnosis. Clinical over-diagnosis was frequently encountered. Furthermore, there was a marked tendency for subsequent treating physicians to accept, and to perpetuate, a false "history of rheumatic fever" without critical evaluation. Obviously, whenever possible, the history should be justified by eliciting in detail the signs and symptoms observed in the past. Historical data must be obtained and compared with acceptable criteria for diagnosis, for the intelligent management of the patient depends upon such evaluation.

scholarly journals Red Blood Cell Groups and ABH Secretor System as Genetic Indicators of Susceptibility to Rheumatic Fever and Rheumatic Heart Disease

BMJ ◽  
1964 ◽  
Vol 2 (5412) ◽  
pp. 775-779 ◽  
Author(s):  
T. D. Dublin ◽  
A. D. Bernanke ◽  
E. L. Pitt ◽  
B. F. Massell ◽  
F. H. Allen ◽  
...  
Keyword(s):  
Heart Disease ◽  
Blood Cell ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Red Blood Cell ◽  
Cell Groups ◽  
Rheumatic Heart
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