A rare situation in acute rheumatic carditis: involvement of all four valves
نویسندگان
چکیده
منابع مشابه
Rheumatic involvement of all four cardiac valves.
Rheumatic involvement of all four heart valves is rare. A 35 year old woman presented with gradually progressive exertional dyspnoea for the preceding 10 years. On evaluation she was in atrial fibrillation with congestive heart failure. Clinical examination found evidence of stenosis of the mitral aortic and tricuspid valves with a history of rheumatic fever in childhood. Transthoracic echocard...
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The diagnosis of early rheumatic carditis usually depends upon the detection of murmurs produced by acute valvulitis. It may be difficult to evaluate clinically the significance of certain murmurs occurring in patients with rheumatic fever, though the development of a loud apical pansystolic murmur in a patient already under observation usually presents no diagnostic problem. More frequently a ...
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A trial was conducted using sequential analysis by pairs to compare the efficacy of corticosteroids and salicylates in the treatment of acute rheumatic carditis. The results show a significantly favourable effect of steroid treatment both in clinical response and in reduction of the erythrocyte sedimentation rate. In addition, patients receiving steroids usually had a shorter hospital stay. The...
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Anti-streptococcal antibodies cross-reactive with N-acetyl-betaD-glucosamine (GlcNAc) and myosin are present in the sera of patients with rheumatic fever (RF). However, their role in tissue injury is not clear. In this study, we show that anti-GlcNAc/anti-myosin mAb 3.B6 from a rheumatic carditis patient was cytotoxic for human endothelial cell lines and reacted with human valvular endothelium ...
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These remarks are prompted by a survey of four recent autopsies and sixty-five cases seen during the past few years. For my pathological notes I am indebted to Dr. Michell Clarke, Dr. Cecil Williams, and Dr. T. E. Holmes. Of the clinical cases twentyfour are my own out-patients, and the remainder in-patients at St. Mary's Hospital and at the Children's Hospital, Bristol, the notes of which I am...
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ژورنال
عنوان ژورنال: The Turkish Journal of Pediatrics
سال: 2017
ISSN: 0041-4301
DOI: 10.24953/turkjped.2017.04.021