title: Cardiac tamponade as a rare form of presentation of rheumatic carditis.
abstract: In this article the authors describe a clinical case of acute rheumatic fever (according to revised Jones criteria, American Heart Association [AHA], 1992) with cardiac tamponade, emphasizing this uncommon presentation. An adolescent patient with a clinical picture of cardiac tamponade was seen in the emergency department. Clinical progression and tests demonstrated rheumatic carditis with an initial manifestation of pericarditis with cardiac tamponade. This report aims to warn physicians about the diagnosis of rheumatic carditis in an unusual clinical presentation, in cases of cardiac tamponade, particularly in school-aged children and adolescents in countries with a high prevalence of rheumatic fever. The literature contains only two documented cases of cardiac tamponade related to acute rheumatic fever, and this case represents a third.
authors.affiliation: Department of Paediatrics, Universidade Federal de Minas Gerais, Av Alfredo Balena, 190, 30410-180 Belo Horizonte, Brazil.
authors.forename: Fátima Derlene
authors.initials: FD
authors.lastname: Rocha Araújo
authors.forename: Kelly Nascimento
authors.initials: KN
authors.lastname: Brandão
authors.forename: Fabiana Arantes
authors.initials: FA
authors.lastname: Araújo
authors.forename: Gláucia Maria
authors.initials: GM
authors.lastname: Vasconcelos Severiano
authors.forename: Zilda Maria
authors.initials: ZM
authors.lastname: Alves Meira
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002216:Captopril / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002648:Child; D018450:Disease Progression; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D010068:Oxacillin / Q000627:therapeutic use; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D020519:Pericardiocentesis; D011241:Prednisone / Q000627:therapeutic use; D011500:Protein Synthesis Inhibitors / Q000627:therapeutic use; D012213:Rheumatic Fever / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012214:Rheumatic Heart Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D000959:Antihypertensive Agents; D004232:Diuretics; D005839:Gentamicins; D011500:Protein Synthesis Inhibitors; D005665:Furosemide; D002216:Captopril; D010401:Penicillin G Benzathine; D010068:Oxacillin; D011241:Prednisone