Öz
ÖZET
Akut romatizmal ateş, sıklıkla eklemleri ve kalbi tutan, A grubu β hemolitik Streptokokların romatojenik suşlarının yol açtığı üst solunum yolu enfeksiyonundan sonra gelişen, siste- mik bir hastalıktır. Gelişmekte olan ülkelerde edinilmiş kalp hastalıklarının en önemli ne- denidir. Hastalığın mortalitesini ve morbiditesini kalp tutulumu belirler. Hastalığın spesifik bir bulgusu yoktur, tanıda modifiye Jones kriterleri kullanılır. Burada, üç aydır şikâyetleri devam eden bir akut romatizmal ateş olgusu sunuldu. Hastalığın teşhisinde ve hastaya uygun tedavinin verilmesinde hala zorluklar yaşandığı vurgulanmak istendi.
Anahtar kelimeler: Akut romatizmal ateş; Kardit; Çocuk
ABSTRACT
Acute rheumatic fever is a multisystemic disease which mostly effects joints and heart. The disease occurs after upper respiratory tract infection caused by group A β-hemolytic streptococci rheumatogenic strains. Acute rheumatic fever is the most common acquired heart disease in developing countries. Cardiac invovement determines the mortality and the morbidity of the disease. There are no specific symptoms or signs related with the disease, so modified Jones criteria are used primarly for the diagnosis. In this report wepresent a patient with acute rheumatic fever that has symptoms for three months. We want to higlight that there are stil difficulties in diagnosis and the appropriate management of acute rheumatic fever.
Keywords: Acute rheumatic fever; Carditis; Child
Anahtar Kelimeler
Kaynakça
- Akalın F. Akut romatizmal ateş ve yenilikler. Türk Ped Arş. 2007;42(3):85-93.
- Owlia M, Mirzaei M.Acute rheumatic fever: Over-estimation or mis-conception? Int J Cardiol. 2013;168(5):5107-8.
- Lee JL, Naguwa SM, Cheema GS, Gershwin ME. Acute rheumatic fever and its consequences: A persistent threat to developing nations in the 21st century. Autoimmun Rev. 2009;9(2):117-23.
- Ilgenfritz S, Dowlatshahi C, Salkind A.Acute rheumatic Fever: case report and review for emergency physicians. J Emerg Med. 2013;45(4):103-6.
- Williamson L, Bowness P, Mowat A, Ostman-Smith I. Lesson of the week: difficulties in diagnosing acute rheumatic fever-arthritis may be short lived and carditis silent. BMJ. 2000;320(7231):362-5.
- Lilic N, Kumar P.A timely reminder--rheumatic fever. N Z Med J. 2013;126(1373):88-90.
- Barash J.Rheumatic Fever and post-group a streptococcal arthritis in children. Curr Infect Dis Rep. 2013;15(3):263-8.
Öz
Acute rheumatic fever is a multisystemic disease which mostly effects joints and heart. The disease occurs after upper respiratory tract infection caused by group A β-hemolytic streptococci rheumatogenic strains. Acute rheumatic fever is the most common acquired heart disease in developing countries. Cardiac invovement determines the mortality and the morbidity of the disease. There are no specific symptoms or signs related with the disease, so modified Jones criteria are used primarly for the diagnosis. In this report wepresent a patient with acute rheumatic fever that has symptoms for three months. We want to higlight that there are stil difficulties in diagnosis and the appropriate management of acute rheumatic fever
Anahtar Kelimeler
Kaynakça
- Akalın F. Akut romatizmal ateş ve yenilikler. Türk Ped Arş. 2007;42(3):85-93.
- Owlia M, Mirzaei M.Acute rheumatic fever: Over-estimation or mis-conception? Int J Cardiol. 2013;168(5):5107-8.
- Lee JL, Naguwa SM, Cheema GS, Gershwin ME. Acute rheumatic fever and its consequences: A persistent threat to developing nations in the 21st century. Autoimmun Rev. 2009;9(2):117-23.
- Ilgenfritz S, Dowlatshahi C, Salkind A.Acute rheumatic Fever: case report and review for emergency physicians. J Emerg Med. 2013;45(4):103-6.
- Williamson L, Bowness P, Mowat A, Ostman-Smith I. Lesson of the week: difficulties in diagnosing acute rheumatic fever-arthritis may be short lived and carditis silent. BMJ. 2000;320(7231):362-5.
- Lilic N, Kumar P.A timely reminder--rheumatic fever. N Z Med J. 2013;126(1373):88-90.
- Barash J.Rheumatic Fever and post-group a streptococcal arthritis in children. Curr Infect Dis Rep. 2013;15(3):263-8.
Ayrıntılar
| Bölüm | Olgu Sunumu |
|---|---|
| Yazarlar | |
| Yayımlanma Tarihi | 27 Şubat 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 1 |
