Suspected acute rheumatic fever in a young man in England
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Authors
Wilson, Z. M.
Craster, K.
Issue Date
2021-11-09
Type
Case Reports
Language
eng
Keywords
Adult , Chest Pain , Echocardiography , Humans , Male , Penicillins/therapeutic use , *Pleural Effusion , *Rheumatic Fever/complications/diagnosis/drug therapy , Young Adult , cardiovascular medicine , infectious diseases , pericardial disease
Alternative Title
A 24-year-old fit and well Caucasian man was referred to acute hospital via his General Practitioner with chest pain, palpitations, shortness of breath and an antecedent sore throat. Investigations revealed pericardial and pleural effusions, pericardial thickening on MRI, mild mitral regurgitation on echocardiogram and a raised Antistreptolysin O (ASO) titre.He was treated as acute rheumatic fever (ARF) with a prolonged course of penicillin, supportive therapy with bisoprolol and colchicine with lansoprazole cover. The patient made a full recovery and subsequent cardiac MRI showed resolution of all changes.
Description
Citation
BMJ Case Rep. 2021 Nov 9;14(11):e244469. doi: 10.1136/bcr-2021-244469.
Publisher
BMJ
License
© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Journal
BMJ case reports