Delayed Diagnosis of Acute Rheumatic Fever in a Patient with Multiple Emergency Department Visits
المؤلفون المشاركون
Kaminecki, Inna
Verma, Renuka
Brunetto, Jacqueline
Rivera, Loyda I.
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-06-04
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
While the incidence of acute rheumatic fever (ARF) in the United States has declined over the past years, the disease remains one of the causes of severe cardiovascular morbidity in children.
The index of suspicion for ARF in health care providers may be low due to decreasing incidence of the disease and clinical presentation that can mimic other conditions.
We present the case of a 5-year-old boy with a history of intermittent fevers, fatigue, migratory joint pain, and weight loss following group A Streptococcus pharyngitis.
The patient presented to the emergency department twice with the complaints described above.
On his 3rd presentation, the workup for his symptoms revealed the diagnosis of acute rheumatic fever with severe mitral and aortic valve regurgitation.
The patient was treated with penicillin G benzathine and was started on glucocorticoids for severe carditis.
The patient was discharged with recommendations to continue secondary prophylaxis with penicillin G benzathine every 4 weeks for the next 10 years.
This case illustrates importance of primary prevention of acute rheumatic fever with adequate antibiotic treatment of group A Streptococcus pharyngitis.
Parents should also receive information and education that a child with a previous attack of ARF has higher risk for a recurrent attack of rheumatic fever.
This can lead to development of severe rheumatic heart disease.
Prevention of recurrent ARF requires continuous antimicrobial prophylaxis.
Follow-up with a cardiologist every 1-2 years is essential to assess the heart for valve damage.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kaminecki, Inna& Verma, Renuka& Brunetto, Jacqueline& Rivera, Loyda I.. 2018. Delayed Diagnosis of Acute Rheumatic Fever in a Patient with Multiple Emergency Department Visits. Case Reports in Pediatrics،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1149277
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kaminecki, Inna…[et al.]. Delayed Diagnosis of Acute Rheumatic Fever in a Patient with Multiple Emergency Department Visits. Case Reports in Pediatrics No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1149277
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kaminecki, Inna& Verma, Renuka& Brunetto, Jacqueline& Rivera, Loyda I.. Delayed Diagnosis of Acute Rheumatic Fever in a Patient with Multiple Emergency Department Visits. Case Reports in Pediatrics. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1149277
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1149277
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر