Complete atrioventricular block in an adolescent with rheumatic Fever.

Korean Circulation Journal
Gyeong-Hee Yoo

Abstract

Rheumatic fever is an acute inflammatory sequela following a group A, beta-hemolytic streptococcal infection. Rheumatic fever is characterized by polyarthritis, carditis, chorea, subcutaneous nodules, and erythema marginatum as the major diagnostic criteria. Rarely, advanced heart block may also occur. A 13-year-old boy was admitted to the Pediatric Department for evaluation and management of complete atrioventricular block. The patient had exertional dyspnea for 1 month. Based on the findings of mitral regurgitation, fever, elevated acute phase reactants, and a high antistreptolysin O titer, the patient was diagnosed with rheumatic fever. A benzathine penicillin injection was administered, as well as salicylate therapy. On the 5(th) day of hospitalization, the electrocardiogram revealed a normal sinus rhythm with a 1(st) degree atrioventricular block. After discharge, the electrocardiogram normalized with the monthly penicillin injections. Herein we report a case of complete atrioventricular block associated with rheumatic fever. The heart block resolved without specific cardiac treatment, other than a non-steroidal anti-inflammatory medication.

References

May 1, 1972·British Heart Journal·M Clarke, J D Keith
Jan 1, 1971·British Heart Journal·N CristalM Gueron
Feb 15, 2001·The Journal of Pediatrics·L LibermanR H Pass

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Citations

Apr 30, 2013·Annals of Pediatric Cardiology·Goutam Datta
Apr 18, 2012·Pediatrics International : Official Journal of the Japan Pediatric Society·Ayhan CevikRana Olgunturk

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Methods Mentioned

BETA
ESR

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