Rheumatic fever revisited. Keep this diagnosis on your list of suspects.
The symptoms of recurrent rheumatic fever in adults can be very different from those in children, and the diagnosis is easy to overlook. Nonetheless, rheumatic fever is still a problem in many parts of the world, as illustrated by this case. Dr Capizzi and associates remind us to keep our options open.
Capizzi
S A
SA
Mayo Clinic, Rochester, Minnesota, USA.
Levy
N T
NT
Enriquez-Sarano
M
M
D000328:Adult; D000367:Age Factors; D004338:Drug Combinations; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D006801:Humans; D008297:Male; D010401:Penicillin G Benzathine / Q000008:administration & dosage; D010402:Penicillin G Procaine / Q000008:administration & dosage; D012008:Recurrence; D012213:Rheumatic Fever / Q000175:diagnosis* / Q000517:prevention & control
D004338:Drug Combinations; C024657:benzathine benzylpenicillin, procaine benzylpenicillin, drug combination; D010402:Penicillin G Procaine; D010401:Penicillin G Benzathine