Biventricular assist for severe acute rheumatic pancarditis

Amsel, Bram J.; Raedt, Herbert De; Rodrigus, Inez; Haenen, L.; Druwé, Patrick; Vorlat, Anne; Colpaert, Cécile; Moulijn, Adriaan C.

doi:10.1016/0003-4975(96)00095-1

Cited by 5 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,16 A small number of old case reports exist, mostly in children. [17][18][19][20][21][22][23] The prevalence of renal injury in the context of ARF is unknown but is uncommon, especially in adults and in Australia. 6,7,24 The concurrence of ARF and APSGN has been observed previously in other settings.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Concurrent Rheumatic Fever and Acute Post-Streptococcal Glomerulonephritis in a High-Burden Setting

Nakauyaca

Ralph

Majoni

et al. 2019

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

We report a case of acute rheumatic fever with severe pancarditis occurring simultaneously with probable acute post-streptococcal glomerulonephritis in a previously well, Australian Aboriginal, 29-year-old male. These autoimmune streptococcal sequelae are usually considered pathogenetically distinct, and concurrence has not previously been reported from this high-burden setting. We hypothesize that a single type of infecting group A Streptococcus (Strep A) triggered both autoimmune sequelae. Salient features included mitral and aortic regurgitation that worsened during the acute illness, painful pericarditis, and high troponin; severe acute kidney injury with oliguria, hematuria, and macroalbuminuria; reduced complement (C3); and elevated streptococcal serology. The case highlights important diagnostic and management challenges. It also illustrates the serious morbidity impact of the complications of Strep A.

show abstract