1/5. A case of acute rheumatic fever accompanied by transient aortic regurgitation.Though acute rheumatic fever (RF) is now rare in japan, it continues to be an important disease condition that physicians should be prepared to diagnose and treat. We describe a patient with acute RF accompanied by transient aortic regurgitation (AR). The AR was detected only by echocardiography. There were no other indications, and it disappeared after treatment with prednisolone. The changes in cardiac valves in the early phase of RF have been the subject of only a few case studies. echocardiography is quite valuable in the workup of patients with acute RF and should be performed even if there are no signs of cardiac involvement.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Two unusual presentations of acute rheumatic fever.patients with acute rheumatic fever sometimes present with atypical signs and symptoms. In these circumstances, the Jones criterions may not be sufficient to make a clinical diagnosis. We describe here two patients with unusual presentations, highlighting that, both in regions where the disease is endemic, or where it is seen only sporadically, physicians should be more alert and careful in making the diagnosis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Acute congestive heart failure in a 55-year-old man. Rheumatic carditis diagnosed by endomyocardial biopsy.We describe a 55-year-old man who presented with acute left ventricular dysfunction and congestive heart failure caused by rheumatic carditis. The diagnosis of rheumatic carditis was established by percutaneous endomyocardial biopsy. Since many physicians may not be familiar with some of the clinical and histopathologic features of rheumatic carditis, we submit this report as a reminder that the disease has not disappeared, should be considered in the differential diagnosis of acute heart failure, and can be diagnosed by endomyocardial biopsy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Acute rheumatic fever and poststreptococcal acute glomerulonephritis caused by T serotype 12 streptococcus.We present a rare case of a 10 year old Japanese boy with acute rheumatic fever accompanied with poststreptococcal acute glomerulonephritis. We isolated group A streptococcus serotype T 12, a strain that was thought to be nephritogenic but not rheumatogenic, from throat culture. Although rare, physicians should be aware that acute renal disease may accompany rheumatic fever.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. delayed diagnosis of acute rheumatic fever in adults: a forgotten cause of febrile polyarthritis.Acute rheumatic fever is a nonsuppurative sequela of upper respiratory tract infection with group A streptococci. We describe our recent experience with the diagnosis and management of 3 cases of acute rheumatic fever to highlight the delays that may arise in the diagnosis of this condition. In adults, febrile polyarthritis is the most common presentation of acute rheumatic fever. Increased awareness on the part of the physician is necessary to ensure both prompt and accurate diagnosis of this cause of febrile polyarthritis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |