Geçirilmiş Akut Romatizmal Ateşe Bağlı Fibrinli Perikardiyal Efüzyon ve Valvülit: Sıradışı Klinik Prezantasyon
Öz
Akut romatizmal ateşin ARA sekeli olan romatizmal kalp hastalığı, gelişmekte olan ülkelerde çocuklar ve genç yetişkinlerde edinsel kalp hastalıklarının önemli bir nedenidir. Romatizmal kalp hastalığı olan hastalarda değişken derecede kapak hastalığı, kalp yetersizliği ve perikardit görülür. On iki yaşında kız hasta üç gün süren ateş, üç aydan beri olan halsizlik, çabuk yorulma ve göğüs ağrısı şikayetleriyle başvurdu. Ekokardiyografide sol ventrikül komşuluğunda fibrin birikimlerinin olduğu 24 mm genişliğinde perikardiyal efüzyon görüldü. Yaklaşık 3 ay önce ayak bileklerinde ve dizlerinde gezici tarzda, 1 hafta süren şişlik, kızarıklık ve ağrısı olduğu öğrenildi. Öyküye göre yaklaşık 3 ay önce ARA atağı geçirdiği düşünülen ve fibrinli perikardiyal efüzyon ile başvuran hasta, akut romatizmal ateşin sıradışı klinik prezantasyonu olması nedeniyle sunulmuştur
Anahtar Kelimeler
Akut romatizmal ateş romatizmal kalp hastalığı perikardiyal efüzyon adölesan
Kaynakça
- 1. Guilherme L, Kalil J. Rheumatic fever: from innate to acquired immune response. Ann N Y Acad Sci 2007;1107:426-33.
- 2. Rocha Araujo FD, Brandao KN, Araujo FA, Vasconcelos Severiano GM, Alves Meira ZM. Cardiac tamponade as a rare form of presentation of rheumatic carditis. Am Heart Hosp J 2010;8:55-7.
- 3. Unal N, Kosecik M, Saylam GS, Kir M, Paytoncu S, Kumtepe S. Cardiac tamponade in acute rheumatic fever. Int J Cardiol 2005;103:217-8.
- 4. Tan AT, Mah PK, Chia PL. Cardiac tamponade in acute rheumatic carditis. An Rheum Dis 1983;42:699-701.
- 5. Stollerman GH, Markowitz M, Taranta A, Wannamaker LW, Whittemore R. Jones criteria (revised) for guidance in the diagnosis of rheumatic fever. Circulation 1965;32:664-8.
- 6. Roberts WC. Pericardial heart disease: its morphologic features and its causes. Proc (Bayl Univ Med Cent) 2005;18:38-55.
- 7. Angoulvant F, Bellanger H, Magnier S, Bidet P, Saizou C, Dauger S. Acute purulent pericarditis in childhood: don’t forget β-haemolytic group-A Streptococcus. Intensive Care Med 2011;37:1709-10.
- 8. Bhaduri-McIntosh S, Prasad M, Moltedo J, Vazquez M. Purulent pericarditis caused by group a streptococcus. Tex Heart Inst J 2006;33:519-22.
- 9. Pankuweit S, Ristic AD, Seferović PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs 2005;5:103-12.
Fibrinous Pericardial Effusion and Valvulitis Secondary to Previous Acute Rheumatic Fever: An Unusual Clinical Presentation
Öz
Rheumatic heart disease, a sequela to acute rheumatic fever ARF , is a major cause of acquired heart disease in children and young adults in developing countries. Valvular disease of variable severity, heart failure, and pericarditis has been observed in patients with rheumatic heart disease. A 12-year-old female patient presented with fever presented for 3 days, continuing for fatigue, exhaustion, and chest pain. Echocardiography revealed a pericardial effusion with a 24-mm-thick fibrin accumulation in the neighborhood of the left ventricle. Review of the patient’s medical history revealed that about 3 months earlier the patient had experienced migrating swelling, erythema, and pain of the ankles and knees that lasted for 1 week. Here, we present an ARF patient with an unusual clinical presentation who thought to have an attack of acute rheumatic fever 3 months earlier and was presented with fibrinous pericardial effusion
Anahtar Kelimeler
Acute rheumatic fever rheumatic heart disease pericardial effusion adolescent
Kaynakça
- 1. Guilherme L, Kalil J. Rheumatic fever: from innate to acquired immune response. Ann N Y Acad Sci 2007;1107:426-33.
- 2. Rocha Araujo FD, Brandao KN, Araujo FA, Vasconcelos Severiano GM, Alves Meira ZM. Cardiac tamponade as a rare form of presentation of rheumatic carditis. Am Heart Hosp J 2010;8:55-7.
- 3. Unal N, Kosecik M, Saylam GS, Kir M, Paytoncu S, Kumtepe S. Cardiac tamponade in acute rheumatic fever. Int J Cardiol 2005;103:217-8.
- 4. Tan AT, Mah PK, Chia PL. Cardiac tamponade in acute rheumatic carditis. An Rheum Dis 1983;42:699-701.
- 5. Stollerman GH, Markowitz M, Taranta A, Wannamaker LW, Whittemore R. Jones criteria (revised) for guidance in the diagnosis of rheumatic fever. Circulation 1965;32:664-8.
- 6. Roberts WC. Pericardial heart disease: its morphologic features and its causes. Proc (Bayl Univ Med Cent) 2005;18:38-55.
- 7. Angoulvant F, Bellanger H, Magnier S, Bidet P, Saizou C, Dauger S. Acute purulent pericarditis in childhood: don’t forget β-haemolytic group-A Streptococcus. Intensive Care Med 2011;37:1709-10.
- 8. Bhaduri-McIntosh S, Prasad M, Moltedo J, Vazquez M. Purulent pericarditis caused by group a streptococcus. Tex Heart Inst J 2006;33:519-22.
- 9. Pankuweit S, Ristic AD, Seferović PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs 2005;5:103-12.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 12 Sayı: 3 |