[Auricular fibrillation and acute aortic insufficienncy in Reiter's syndrome].
The case is presented of a 27-year old male with typical Reiter's sundrome (RS) and cardiac lesions. Eight months after the initial onset of the joint and mucosal symptoms, atrial fibrillation and signs of cardiac failure suddenly supervened. Rheumatic fever, hyperthyroidism and myocardial infarction were ruled out. Digitalization and Valsalva maneuvers produced a return to normal sinus rhythm. At the same time a diastolic murmur was heard and the diastolic pressure fell to 40 mm Hg, suggesting acute aortic insufficiency. This carditis was attributed to RS. The evolution was favourable, although a mild degree of aortic insufficiency persisted.
D000328:Adult; D000989:Antistreptolysin / Q000032:analysis; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D001168:Arthritis / Q000209:etiology; D016918:Arthritis, Reactive / Q000150:complications*; D001281:Atrial Fibrillation / Q000209:etiology*; D003967:Diarrhea / Q000209:etiology; D006801:Humans; D008297:Male
D000989:Antistreptolysin
Fibrillation auriculaire et insuffisance aortique aiguüe dans le syndrome de Reiter.