Severe Rheumatic Carditis in a High Resource Setting

Jake Lesser; Heena Mansuri; Shanna Kowalsky-Herbst; Julie Kantor; Jose U Mendoza; Ryan Halickman

doi:10.1016/j.jaccas.2024.102672

Severe Rheumatic Carditis in a High Resource Setting

JACC Case Rep. 2024 Oct 16;29(20):102672. doi: 10.1016/j.jaccas.2024.102672.

Authors

Jake Lesser¹, Heena Mansuri², Shanna Kowalsky-Herbst³, Julie Kantor², Jose U Mendoza⁴, Ryan Halickman⁴

Affiliations

¹ Department of Medical Education, Nicklaus Children's Hospital, Miami, Florida, USA.
² Department of Pediatrics, Florida International University, Herbert Wertheim College of Medicine, Miami, Florida.
³ Department of Infectious Disease, Nicklaus Children's Hospital, Miami, Florida.
⁴ Department of Cardiology, Nicklaus Children's Hospital, Miami, Florida, USA.

Abstract

A 6-year-old boy developed acute rheumatic fever after group A streptococcal pharyngitis. Despite prompt diagnosis and adequate treatment, he developed progressive rheumatic heart disease. Given the rarity of acute rheumatic fever in the U.S. population, timely diagnosis with echocardiographic screening and vigilant follow-up are crucial to mitigate rheumatic heart disease complications.

Keywords: acute rheumatic fever; pediatrics; rheumatic heart disease.

Publication types

Case Reports