Acute Rheumatic Activity in a 49 year old Nepalese adult with established Rheumatic heart Disease: a case report
Journal Title: Nepalese Heart Journal - Year 2016, Vol 13, Issue 2
Abstract
Rheumatic fever presenting late in adult beyond 25 years of age is a rare but common phenomena and noted in various case reports .The diagnosis of rheumatic activity is based on the same modifed Jones criteria for rheumatic fever and rheumatic heart disease. Here we describe a 49 year old male , known rheumatic heart disease with severe aortic regurgitation and post aortic valve replacement who presented with fever and migratory polyarthritis along with history of preceding sore throat 2 weeks prior to this illness . He was managed with high dose of aspirin therapy along with oral penicillin after which he had dramatic improvement in his symptomatology and was discharged with good recovery .
Authors and Affiliations
Anish Hirachan| Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal, Reeju Manandhar| Department of Cardiology , Sahid Gangalal National Heart Center , Bansbari , Kathmandu Corresponding Author Anish Hirachan, Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal, Madhu Roka| Department of Cardiology , Sahid Gangalal National Heart Center , Bansbari , Kathmandu Corresponding Author Anish Hirachan, Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal, Deewakar Sharma| Department of Cardiology , Sahid Gangalal National Heart Center , Bansbari , Kathmandu Corresponding Author Anish Hirachan, Department of Cardiology, National Academy of Medical Sciences , Kathmandu , Nepal
Keywords
Related Articles
- EP ID EP15758
- DOI http://dx.doi.org/10.3126/njh.v13i2.15564
- Views 383
- Downloads 19
Balloon Mitral Valvuloplasty (BMV) in Pregnancy: A FourYear Experience at Shahid Gangalal National Heart Centre (SGNHC), Nepal
Balloon Mitral Valvuloplasty (BMV) has been performed safely during pregnancy with good results. This study was intended to see the effcacy and safety of BMW in this subset. Retrospective analysis of 22 pregnant women...
Outcome of pregnancies in women with prosthetic mechanical heart valves
Background and Aims: Rheumatic heart disease is still prevalent in Nepal. Many young women had to undergo cardiac surgery before or at their childbearing age. Due to teratogenic effect and maternal risk, pregnancy is g...
Clinical Profle and Management in Children with Rheumatic Heart Disease in a Tertiary Cardiac Care Center of Nepal
Backgrounds and Aims: Rheumatic heart disease is the commonest acquired heart disease in children of developing world presenting earlier and with a more severe valvular lesion. This study was conducted to assess the cl...
Normal Echocardiographic Parameters of Healthy Adult Individuals working in Natonal Heart Centre
Background Studies evaluatng potental differences in normal cardiac dimensions and body mass indices of various ethnic populatons using 2D echocardiography have reported variatons based on gender and ethnicity. Curren...
Sleep Apnea-A Review
Sleep apnea literally means “cessation of breath.†Sleep apnea is a common disorder in which we have one or more pauses in breathing or shallow breaths during our sleep. Breathing pauses can last from a few seconds t...