Acute rheumatic fever with three major criteria: polyarthritis, carditis and chorea. A case report.
An eight-year-old girl is presented with three major criteria of acute rheumatic fever: polyarthritis, carditis and chorea. The diagnosis was confirmed with a history of pharyngitis 15 days prior to admission and with the findings of positive acute phase reactants such as elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), elevated anti-streptolysin-O (ASO) titration, and clinical findings of polyarthritis, carditis and chorea. Patient responded well to salicylate and phenobarbital treatment. The rare association of these three major criteria in acute rheumatic fever is emphasized.
Günal
N
N
Pediatric Cardiology Unit, Social Security Children's Hospital, Ankara.
Atakan
C
C
Köse
G
G
Atasay
B
B
D000208:Acute Disease; D001168:Arthritis / Q000209:etiology*; D002648:Child; D002819:Chorea / Q000209:etiology*; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000209:etiology*; D012213:Rheumatic Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy