Chorea is a major manifestation of acute RF and is the only evidence of RF in approximately 20% of cases. We
report on a 15-year-old boy
who presented with
transient right side involuntary jerky
movements, apical
systolic murmur, sinus
bradycardia,
arthralgia, elevated
antistreptolysin O titer and ESR,
who was diagnosed with
acute rheumatic fever and improved with
haloperidol,
prednisolone,
digoxin,
aspirin and
furosemide and was given
benzathine penicillin prophylaxis for
future RF.
Patient is faring well in follow up visits. We present our case because of its rarity.