Rheumatic Fever Presenting as Recurrent Pericarditis and Cardiac Tamponade

Howard, Ashley; Sutton, Lisa; Fergie, Jaime

doi:10.1177/0009922817715938

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…Pericarditis during RF is a sign of rheumatic carditis. Usually, it occurs at the initial episode, within 1 week after appearance of fever and arthritis (26), but sometimes is the presenting manifestation of RF or can present during relapses of RF (41). Pericarditis usually resolves without sequelae and does not require a specific management in addition to that for rheumatic carditis (antibiotics to eradicate streptococcal infection, salicilates, glucocorticoids, and management of valvulopathy and heart failure) (40).…”

Section: Rheumatic Fever (Rf)mentioning

confidence: 99%

Recurrent pericarditis in children and adolescents

Imazio

Brucato

Pluymaekers

et al. 2016

Journal of Cardiovascular Medicine

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Section: Rheumatic Fever (Rf)mentioning

confidence: 99%

Recurrent pericarditis in children and adolescents

Imazio

Brucato

Pluymaekers

et al. 2016

Journal of Cardiovascular Medicine

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“…There are few published case reports regarding pericarditis in RF, and these patients present with pericardial effusion or its complication (tamponade). 41 , 42 , 43 This case is unique because the patient presented with typical pericarditis pain and did not have pericardial effusion; however, it also existed with carditis. The 12-lead ECG showed the typical ST-segments changes of pericarditis.…”

Section: Discussionmentioning

confidence: 94%

A case report of isolated rheumatic tricuspid regurgitation and pericarditis

Alhadramy

2021

Journal of Taibah University Medical Sciences

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Rheumatic fever (RF) is a complex syndrome in which the human body develops antibodies against β-haemolytic streptococcus, and triggers inflammation in various organs. RF valvulitis mostly affects the mitral valve (MV) and, to a lesser extent, the aortic valve (AV). Isolated rheumatic tricuspid valve (TV) disease and pericarditis is extremely rare and is not well described in the RF guidelines. The current case demonstrates the echocardiographic findings of TV valvulitis of RF and describes the presentation and electrocardiogram (ECG) changes in pericarditis. We present the case of a 16-year-old male patient who developed upper respiratory tract infection followed by typical pericarditis chest pain. The patient had no history of joint pain or swelling, but was found to have a tricuspid regurgitation (TR) murmur upon examination. Laboratory investigations revealed an elevated erythrocyte sedimentation rate, and elevated C-reactive protein and antistreptolysin O titres. ECG showed a wide-spread 1.5 mm upward concave ST-segment elevation. In echocardiography, the TV opened well with markedly thickened leaflets and severe TR, while the MV and AV were normal in both structure and function. The diagnosis of RF was established and treatment with high-dose aspirin and antibiotics was initiated. The treatment led to resolution of the chest pain. Our case highlights that the physical and lab findings of rheumatic TR are similar to those of rheumatic mitral regurgitation, with the exception of a high-velocity jet. Similarly, the presentations of rheumatic pericarditis are similar to other types and may also respond to high-dose aspirin. Finally, physicians should be familiar with both the common and rare complications of RF because the guidelines have placed Middle East region among the high-risk countries.

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Pericardial Disease in the Developing World

Ntsekhe

2023

Canadian Journal of Cardiology

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Rheumatic Fever Presenting as Recurrent Pericarditis and Cardiac Tamponade

Cited by 6 publications

References 10 publications

Recurrent pericarditis in children and adolescents

Recurrent pericarditis in children and adolescents

A case report of isolated rheumatic tricuspid regurgitation and pericarditis

Pericardial Disease in the Developing World

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