Rheumatic Heart Disease in Philadelphia Hospitals: A Study of 4,653 Cases of Rheumatic Heart Disease, Rheumatic Fever, Sydenham's Chorea, and Subacute Bacterial Endocarditis Involving 5,921 Admissions to Philadelphia Hospitals from January 1, 1930, to December 31, 1934. III. Fatal Rheumatic Heart Disease and Subacute Bacterial Endocarditis

1940 ◽  
Vol 55 (38) ◽  
pp. 1707 ◽  
Author(s):  
O. F. Hedley
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Bacterial Endocarditis ◽  
Subacute Bacterial Endocarditis ◽  
Sydenham’S Chorea ◽  
Sydenham's Chorea ◽  
Rheumatic Heart

scholarly journals Sydenham’s Chorea as Presentation of Rheumatic Heart Disease

2017 ◽  
Vol 13 (3) ◽  
pp. 271-273
Author(s):  
A. Joshi ◽  
R.P.B. Shrestha ◽  
P.S. Shrestha ◽  
S. Dangol ◽  
N.C. Shrestha ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Lower Limbs ◽  
Moderate Degree ◽  
Sydenham’S Chorea ◽  
Streptolysin O ◽  
Grade Ii ◽  
Sydenham's Chorea ◽  
Penicillin Prophylaxis ◽  
Rheumatic Heart

Sydenham’s chorea is the most common type of acquired chorea in childhood which is a major neurological manifestation of rheumatic fever. We describe a 13 years old girl who presented with weakness and purposeless involuntary movements of upper and lower limbs. The symptoms slightly affected the child’s daily activities and had an unstable gait on walking which was aggravated during stress. Grade II ejection systolic murmur was noticed on cardiovascular examination. Echocardiography evaluation showed thickened aortic and mitral valve leaflets with mild to moderate degree of mitral regurgitation. Anti-streptolysin O titer was positive (≥200 IU/ml). CT scan of brain was normal. Subsequently child was diagnosed as Rheumatic heart disease with Sydenham’s chorea and kept on regular Benzathine penicillin prophylaxis. Symptoms subsided spontaneously after 3 months without any further complications. Although decreasing, early diagnosis and management of Sydenham’s chorea and Rheumatic heart disease are very crucial and should be considered with such presentation.

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