Chorea as the presenting feature of acute rheumatic fever in childhood; case reports from a low-prevalence European setting.
Marta Illán-RamosBelén Sagastizabal CardelúsAdrián García RonSara Guillén MartínArantxa Berzosa SánchezJosé Tomás Ramos AmadorPublished in: BMC infectious diseases (2021)
SC should be the main diagnostic consideration in cases of hemichorea with normal neuroimaging in children. The cases reported highlight the need to maintain a high index of suspicion even in settings where incidende of ARF is low and the need to perform cardiological investigations in all patients with suspected SC, due to the possibility of subclinical valve lesions. Good adherence to secondary prophylaxis is crucial to avoid chorea relapses and worsening valve disease.
Keyphrases
- aortic valve
- mitral valve
- case report
- aortic stenosis
- liver failure
- rheumatoid arthritis
- risk factors
- young adults
- machine learning
- respiratory failure
- drug induced
- transcatheter aortic valve replacement
- coronary artery disease
- type diabetes
- heart failure
- intensive care unit
- hepatitis b virus
- insulin resistance
- mechanical ventilation