The Rebound Phenomenon in Acute Rheumatic Fever

Holt, K. S.

doi:10.1136/adc.31.160.444

Cited by 9 publications

(1 citation statement)

References 23 publications

(17 reference statements)

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“…Streptococcus pyogenes collected from his throat was a pathogenic strain responsible for the ARF (10). The long duration of illness before treatment and steroid use may have predisposed the patient to rebound phenomenon, the reappearance of previously suppressed rheumatic activity upon withdrawal of anti-inflammatory agents (11,12).…”

Section: Discussionmentioning

confidence: 99%

Acute Rheumatic Fever and Kawasaki Disease Occurring in a Single Patient

et al. 2020

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Kawasaki disease and acute rheumatic fever are two major causes of acquired heart disease in the pediatric population. Although both conditions are well-known entities, the association between them has never been described. We report herein a case of 6-year-old male patient who first presented with Kawasaki shock syndrome, followed by acute rheumatic fever 1 year later. In contrast to the prompt intervention given for atypical Kawasaki disease, in the present case the diagnosis was significantly delayed during the otherwise typical presentation of acute rheumatic fever. Our case highlights the difficulty experienced by many pediatricians in developed nations in diagnosing acute rheumatic fever due to its comparative rarity. To prevent diagnostic errors, all pediatricians should be alert to the possibility of acute rheumatic fever even if they are practicing in areas where it is not endemic.

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Section: Discussionmentioning

confidence: 99%