Acute Rheumatic Activity in a 49 year old Nepalese adult with established Rheumatic heart Disease: a case report
Journal Title: Nepalese Heart Journal - Year 2016, Vol 13, Issue 2
Abstract
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 modifed 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 .
Authors and Affiliations
Anish Hirachan| Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal, Reeju Manandhar| Department of Cardiology , Sahid Gangalal National Heart Center , Bansbari , Kathmandu Corresponding Author Anish Hirachan, Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal, Madhu Roka| Department of Cardiology , Sahid Gangalal National Heart Center , Bansbari , Kathmandu Corresponding Author Anish Hirachan, Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal, Deewakar Sharma| Department of Cardiology , Sahid Gangalal National Heart Center , Bansbari , Kathmandu Corresponding Author Anish Hirachan, Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal
Keywords
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- EP ID EP15758
- DOI http://dx.doi.org/10.3126/njh.v13i2.15564
- Views 375
- Downloads 19
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