Complete Atrioventricular Block in an Adolescent With Rheumatic Fever
Korean Circulation Journal
;
: 121-123, 2009.
Article
in English
| WPRIM
| ID: wpr-113696
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 5th day of hospitalization, the electrocardiogram revealed a normal sinus rhythm with a 1st 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Penicillin G Benzathine
/
Penicillins
/
Arthritis
/
Rheumatic Fever
/
Streptococcal Infections
/
Acute-Phase Proteins
/
Chorea
/
Dyspnea
/
Electrocardiography
/
Erythema
Limits:
Adolescent
/
Humans
Language:
English
Journal:
Korean Circulation Journal
Year:
2009
Type:
Article
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