Rheumatic heart disease (RHD) is the most common cause of acquired heart disease in children and young adults in developing countries. It results from throat infection with group A beta hemolytic streptococcus that proceeds to acute rheumatic fever (ARF). We report a 13 years old girl from Darfur presenting with recurrent acute rheumatic fever for 4 years that led to affection of all her heart ...

S UBACUTE bacterial endocarditis involves the left side of the heart in nearly all cases. The complete descriptions of the disease by Libman and Friedberg,’ Blumer,2 and Middleton and Burke3 refer chiefly to this common type. The vegetations are confined to the right side of the heart in less than 4 per cent of the cases.4*6 In patent ductus arteriosus complicated by subacute bacterial endarter...