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Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report

Rheumatic fever (RF) is a significant public health problem in underdeveloped countries, and its diagnosis is based on modified Jones criteria. However, there are rare manifestations not included in these criteria that can complicate this condition. We present a case report of a 21-year-old Moroccan...

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Autores principales: Mougui, Ahmed, El Bouchti, Imane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10168637/
https://www.ncbi.nlm.nih.gov/pubmed/37182074
http://dx.doi.org/10.7759/cureus.37334
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author Mougui, Ahmed
El Bouchti, Imane
author_facet Mougui, Ahmed
El Bouchti, Imane
author_sort Mougui, Ahmed
collection PubMed
description Rheumatic fever (RF) is a significant public health problem in underdeveloped countries, and its diagnosis is based on modified Jones criteria. However, there are rare manifestations not included in these criteria that can complicate this condition. We present a case report of a 21-year-old Moroccan female with RF revealed by pulmonary involvement. The patient had no known rheumatic fever. She presented with a two-week history of joint pain, severe chest pain, and shortness of breath. On clinical examination, she was febrile with a palpable left knee joint effusion. Laboratory tests indicated elevated levels of inflammation markers and moderate hepatic cytolysis. The thoracic CT scan revealed extensive bilateral alveolar-interstitial parenchymal involvement. The left knee joint puncture showed an inflammatory fluid without germs or microcrystals. Antibiotic therapy with ceftriaxone and gentamycin was ineffective. Echocardiography revealed rheumatic poly valvulopathy with mitral valve narrowing and moderate to severe mitral insufficiency. Streptolysin O antibody levels were high. The diagnosis of RF complicated by rheumatic pneumonia was made. Treatment with amoxicillin and prednisone led to favorable outcomes.
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spelling pubmed-101686372023-05-10 Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report Mougui, Ahmed El Bouchti, Imane Cureus Pain Management Rheumatic fever (RF) is a significant public health problem in underdeveloped countries, and its diagnosis is based on modified Jones criteria. However, there are rare manifestations not included in these criteria that can complicate this condition. We present a case report of a 21-year-old Moroccan female with RF revealed by pulmonary involvement. The patient had no known rheumatic fever. She presented with a two-week history of joint pain, severe chest pain, and shortness of breath. On clinical examination, she was febrile with a palpable left knee joint effusion. Laboratory tests indicated elevated levels of inflammation markers and moderate hepatic cytolysis. The thoracic CT scan revealed extensive bilateral alveolar-interstitial parenchymal involvement. The left knee joint puncture showed an inflammatory fluid without germs or microcrystals. Antibiotic therapy with ceftriaxone and gentamycin was ineffective. Echocardiography revealed rheumatic poly valvulopathy with mitral valve narrowing and moderate to severe mitral insufficiency. Streptolysin O antibody levels were high. The diagnosis of RF complicated by rheumatic pneumonia was made. Treatment with amoxicillin and prednisone led to favorable outcomes. Cureus 2023-04-09 /pmc/articles/PMC10168637/ /pubmed/37182074 http://dx.doi.org/10.7759/cureus.37334 Text en Copyright © 2023, Mougui et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pain Management
Mougui, Ahmed
El Bouchti, Imane
Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report
title Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report
title_full Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report
title_fullStr Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report
title_full_unstemmed Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report
title_short Rheumatic Fever Revealed by Pulmonary Involvement: A Case Report
title_sort rheumatic fever revealed by pulmonary involvement: a case report
topic Pain Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10168637/
https://www.ncbi.nlm.nih.gov/pubmed/37182074
http://dx.doi.org/10.7759/cureus.37334
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