title: Adult-onset acute rheumatic fever.
abstract: A 62-year-old man was hospitalized for acute rheumatic fever. He had previously suffered from rheumatic fever at 15 years of age. The rheumatic fever was complicated by carditis, which caused valve disease that required surgical treatment. The incidence of rheumatic fever has decreased in most developed countries with improvements in sanitary conditions. The low incidence of this disease makes a timely and accurate diagnosis difficult. Due to the fact that both the first occurrence and recurrence of acute rheumatic fever can occur in the elderly and adults, this potential disease should not be overlooked when making a differential diagnosis.
authors.affiliation: Department of Cardiovascular Internal Medicine, Minami Osaka Hospital, Japan. enomoto0728@yahoo.co.jp
authors.forename: Dainari
authors.initials: D
authors.lastname: Nakashima
authors.forename: Kohei
authors.initials: K
authors.lastname: Ueda
authors.forename: Kyozo
authors.initials: K
authors.lastname: Tsukuda
authors.forename: Noriaki
authors.initials: N
authors.lastname: Utsu
authors.forename: Shimazu
authors.initials: S
authors.lastname: Kohki
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Fushimi
authors.forename: Kazuho
authors.initials: K
authors.lastname: Miyakoshi
mesh_terms: D017668:Age of Onset; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D018618:Echocardiography, Doppler, Color; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D012008:Recurrence; D012213:Rheumatic Fever / Q000175:diagnosis*; D012214:Rheumatic Heart Disease / Q000175:diagnosis / Q000000981:diagnostic imaging