Complete atrioventricular block in an adolescent with rheumatic Fever
- Abstract
- Rheumatic fever is an acute inflammatory sequela following a group A, beta-hemolytic streptococcal infection. Rheumatic fever is characterized by polyarthritis, carditis, chorea, subcutaneous nodules, and erythema marginatum as the major diagnostic criteria. Rarely, advanced heart block may also occur. A 13-year-old boy was admitted to the Pediatric Department for evaluation and management of complete atrioventricular block. The patient had exertional dyspnea for 1 month. Based on the findings of mitral regurgitation, fever, elevated acute phase reactants, and a high antistreptolysin O titer, the patient was diagnosed with rheumatic fever. A benzathine penicillin injection was administered, as well as salicylate therapy. On the 5(th) day of hospitalization, the electrocardiogram revealed a normal sinus rhythm with a 1(st) degree atrioventricular block. After discharge, the electrocardiogram normalized with the monthly penicillin injections. Herein we report a case of complete atrioventricular block associated with rheumatic fever. The heart block resolved without specific cardiac treatment, other than a non-steroidal anti-inflammatory medication.
- All Author(s)
- G. H. Yoo
- Issued Date
- 2009
- Type
- Article
- Keyword
- Atrioventricular block; Rheumatic fever
- Publisher
- 대한심장학회
Korean Society of Cardiology
- ISSN
- 1738-5520
; 1738-5555
- Citation Title
- Korean Circulation Journal
- Citation Volume
- 39
- Citation Number
- 3
- Citation Start Page
- 121
- Citation End Page
- 123
- Language(ISO)
- eng
- DOI
- 10.4070/kcj.2009.39.3.121
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/3045
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