title: Two unusual presentations of acute rheumatic fever.
abstract: 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.
authors.affiliation: Department of Pediatric Cardiology, Gazi University Medical School, Besevler, Ankara, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Kula
authors.forename: Rana
authors.initials: R
authors.lastname: Olguntürk
authors.forename: Osman
authors.initials: O
authors.lastname: Ozdemir
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000293:Adolescent; D001064:Appendicitis / Q000473:pathology; D001065:Appendix / Q000473:pathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000175:diagnosis* / Q000188:drug therapy; D012213:Rheumatic Fever / Q000150:complications / Q000175:diagnosis*; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis