Rhumatisme articulaire aigu chez l’enfant : à propos de 169 cas

Meriem, C. Ben; Hammami, S.; Ghedira, L.; Hadded, S.; Tahri, S.; Chouchane, S.; Guédiche, M.N.

doi:10.1016/j.jpp.2008.02.001

Cited by 5 publications

(16 citation statements)

References 20 publications

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“…[22][23][24][25] This study reports the majority of patients from urban areas. This is similar to the study done in Tunisia and South India (17,21). The increase of the frequency of cases from urban areas can be explained by the difficulties that patients from rural areas found to access to hospitals.…”

Section: Discussionsupporting

confidence: 89%

“…The mean age on admission of RF patients in our study is the same as that is found in Turkey, which is 11.2 years, while it is higher than the one found in Tunisia and France (9.5 and 9 years respectively). [16][17][18] Approximately 2.5% of children with RF are younger than 5 years at diagnosis. This is confirming that we are a country of high endemicity.…”

Section: Discussionmentioning

confidence: 99%

“…However, in other studies, male patients are more than female. 16,17,21 The admission of patients with ARF to hospitals occurs throughout the year, especially in the autumn-winter period. This is in agreement with the seasonal variability of throat infections caused by group A beta-hemolytic streptococci that is also diagnosed in the winter and spring.…”

Section: Discussionmentioning

confidence: 99%

“…Our result is less than the one in South India and Tunisia (21.6% and 6.6% respectively). 17,21 History family of ARF is weak, yet it can be an argument of a genetic disposition.…”

Section: Discussionmentioning

confidence: 99%

“…The results of our study shows that two thirds of cases have history of sore throat, one to four weeks before the onset of the manifestations of ARF, which is higher than the observations of other studies. 16,17,21,26 The population exposed to frequent infection by streptococcus. pyogenes and had insufficient treatment of initial pharyngeal infection lead to repeated ARF episodes and thus, increased risk of RHD development.…”

Section: Discussionmentioning

confidence: 99%

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Acute rheumatic fever in children: Experience at the hospital Hassan II of Fez, Morocco

Sara

Oumokhtar

Angéla

et al. 2020

Clinical Epidemiology and Global Health

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Acute rheumatic fever (ARF) is a major problem of public health in developing countries like Morocco. This study was done to find out the clinical manifestations and laboratory features of patients with ARF in Fez city. Methods: A retrospective study was conducted from 2009 to 2015 in the pediatric ward of the university hospital Hassan II of Fez. A total of 209 children (< 18 years) diagnosed ARF, based on modified Jones criteria, was included. Results: The mean age of ARF cases were 11 years. The sex ratio male/female was 0.9. The most represented age class was the class between 5 and 15 years. Unschooled represented 2.9% and the most found was the primary level school (58.9%). Urban residence was found in 84.2% of cases and the majority of patients with and without carditis were admitted in winter and autumn respectively. Cases of ARF with carditis was documented in 53.1% and without carditis in 46.9%. In the two groups, arthritis was the major criterion most represented and arthralgia was the minor criterion most represented. History of sore throat was found in ARF with carditis cases (51.3%) more than ARF without carditis cases (35.7%). Penicillin A was the most antibiotic prescribed in the two groups. Commonest valvular lesions among ARF with carditis cases was mitral regurgitation (62.1%). There were 3 deaths among cases in this group. Conclusion: ARF continues to occur in Morocco, despite the progress made in the socioeconomic development of the country, often associated with severe cardiac involvement.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Our result is less than the one in South India and Tunisia (21.6% and 6.6% respectively). 17,21 History family of ARF is weak, yet it can be an argument of a genetic disposition.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Acute rheumatic fever in children: Experience at the hospital Hassan II of Fez, Morocco

Sara

Oumokhtar

Angéla

et al. 2020

Clinical Epidemiology and Global Health

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Réponse spectaculaire au valproate de sodium d’une chorée de Sydenham récurrente

Bouchal¹,

Ouali²,

Belahsen³

2017

Pan Afr Med J

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La chorée du Sydenham est la première cause de chorée acquise dans le tiers monde. Nous rapportons le cas d'une Chorée récurrente traitée avec succès par le valproate du sodium. Mlle A.C âgée de 16 ans ayant comme antécédents des angines à répétition et un épisode de mouvement choréique il y a 2 ans, pour lequel elle a été mise sous Halopéridol et sous prévention du rhumatisme articulaire aigu. La patiente a interrompue le traitement et quelques mois plus tard elle a présenté le même tableau neurologique. L'IRM cérébrale et l'échographie transthoracique étaient normales. La prévention par Extencilline a été réinstaurée ainsi que l'halopéridol sans aucune amélioration, d'où la mise en route sous valproate de sodium. La réponse était spectaculaire après 2 mois de traitement sans récidive après 3ans de recul. Le traitement de la chorée du Sydenham était les neuroleptiques. Des études récentes préconisent d'autres molécules efficaces et mieux tolérées.

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