Two unusual presentations of acute rheumatic fever.
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.
Kula
Serdar
S
Department of Pediatric Cardiology, Gazi University Medical School, Besevler, Ankara, Turkey.
Olguntürk
Rana
R
Ozdemir
Osman
O
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