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Rheumatic Valvulitis

Rheumatic Heart Valve Disease


Presentation

  • Mild aortic regurgitation (AR) was also present. Blood cultures remained sterile; however, she received a course of penicillin prior to her hospital presentation. Antibiotics followed for culture-negative endocarditis.[bloodjournal.org]
  • In five valves, the helper T cells exceeded the number of suppressor T cells, whereas in three others, helper and cytotoxic/suppressor T cells were present in equal numbers.[ncbi.nlm.nih.gov]
  • In every case, active rheumatic lesions of the left atrial appendage were present, but these tended to be less widely distributed than the myocardial Aschoff bodies.[ncbi.nlm.nih.gov]
  • Through the case of a 41-year-old Caucasian female who presented with progressive dyspnea and symptoms of heart failure, due to subacute rheumatic valvulitis, the importance of multimodality cardiovascular imaging assessment of patients presenting with[ingentaconnect.com]
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Infertility
  • Read more GYNECOLOGY AND OBSTETRICS TUBAL FACTOR INFERTILITY TUBAL FACTOR INFERTILITY Aetiology: (bilateral tubal block). 1. Congenital: aplasia or hypoplasia. 2. Traumatic: removal or ligation of the tubes...[meduweb.com]
Disability
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Strawberry Tongue
  • It is usually heard by the doctor while… … Medical dictionary Kawasaki disease — Classification and external resources A child showing characteristic strawberry tongue seen in Kawasaki disease ICD 10 M … Wikipedia Diastolic heart murmur — Auscultogram[medicine.academic.ru]
Jaundice
  • A 13-year-old girl was admitted with congestive heart failure, edema, ascites, and jaundice. There was an apical pansystolic murmur of mitral insufficiency and marked cardiomegaly. Her venous pressure was elevated.[ncbi.nlm.nih.gov]
Heart Disease
  • The presence of rheumatic heart disease and cardiomegaly may have led to the exacerbation of symptoms and signs of constrictive pericarditis and severe right heart failure.[ncbi.nlm.nih.gov]
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  • Abstract While MHA has been frequently reported with mechanical heart valves, hemolysis associated with native valvular heart disease is rare. A 20-year-old Amish female presented with left hip arthritis in 5/03.[bloodjournal.org]
  • diseases I09.9 Rheumatic heart disease, unspecified I10 Essential (primary) hypertension I11 Hypertensive heart disease I11.0 Hypertensive heart disease with heart failure I11.9 Hypertensive heart disease without heart failure I12 Hypertensive chronic[icd10data.com]
Heart Murmur
  • […] from normal and abnormal heart sounds Diastolic heart murmurs are heart murmurs heard during diastole.[1] … Wikipedia verrucous vegetations — small irregular fibrinous excrescences usually occurring along the line of closure of the cardiac valve cusps[medicine.academic.ru]
  • Carditis: pancarditis  Pericardial friction rubs  Weak heart sounds  Tachycardia & arrhythmias  New heart murmurs. other clinical features include epistaxis & abdominal pain. 24.  Myocarditis may cause cardiac dilatation leading to mitral valve insufficiency[slideshare.net]
Systolic Murmur
  • This picture together with a systolic murmur, pericardial friction rub and an ESR of 118 mm/h prompted a transesophageal echocardiogram (TEE) revealing a myxomatous mitral valve (MV) with severe MR and thickening of the tip of the posterior leaflet of[bloodjournal.org]
  • This case does not present a better description of systolic murmur audible in the aortic area.[scielo.br]
Vascular Disease
  • Holmes Springer Science & Business Media , 06.12.2007 - 2926 Seiten Cardiovascular Medicine, 3rd Edition offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease and[books.google.de]
  • The lungs, in particular, showed signs of passive congestion of long evolution with evidence of secondary vascular disease.[scielo.br]
Cardiac Signs and Symptoms
  • The book and DVD package is designed to provide comprehensive coverage of every aspect of cardiovascular medicine from cardiac signs and symptoms and the full range of cardiac imaging techniques through management of peripheral vascular disease and the[books.google.de]
Denial
Excitement
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Polyneuropathy
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Workup

Heinz Bodies
  • Heinz bodies were not present. Ham’s test was without hemolysis. Lupus anticoagulant, anticardiolipin antibody, ANA, rheumatoid factor, antidouble-strand DNA, p-ANCA and c-ANCA were not present. ASO was 200 U/mL.[bloodjournal.org]

Treatment

  • Holmes Springer Science & Business Media , 06.12.2007 - 2926 Seiten Cardiovascular Medicine, 3rd Edition offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease and[books.google.de]
  • Brand-new chapters and comprehensive revisions throughout ensure that you have the most recent information on diagnosis and treatment of pediatric diseases based on the latest recommendations and methodologies.[books.google.de]
  • Despite medical treatment her condition deteriorated, hepatic and renal failure as well as disseminated intravascular coagulation ensued, leading to her death.[ncbi.nlm.nih.gov]
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  • The first-line treatment is penicillin , and is combined with symptomatic anti-inflammatory treatment, typically with salicylates or glucocorticoids (if salicylates are not effective).[amboss.com]

Prognosis

  • Abstract The prognosis for 115 rheumatic fever patients subsequently receiving regular intramuscular penicillin prophylaxis for at least 5 years was studied. Average follow-up was 9.3 years, and 57 patients were followed for 10 years or longer.[circ.ahajournals.org]
  • ., valproic acid ) Prognosis : Usually self-limiting If treated, full remission usually occurs within 3–4 months.[amboss.com]
  • PROGNOSIS In cases of primary attack is excellent with only 1% cases dying from fulminant RF 25.[slideshare.net]
  • Prognosis Rheumatic mitral valve disease is inconsistently reparable, and the long-term outcomes after surgical repair are not as good as for valve repair for mitral valve prolapse due to leaflet and chordal scarring.[emedicine.medscape.com]

Etiology

  • The pathologic picture of pericarditis was nonspecific, but in presence of a positive skin test for tuberculosis the latter is considered to be the most likely cause of the pericarditis, nevertheless, rheumatic etiology of pericarditis in this case cannot[ncbi.nlm.nih.gov]
  • Possibly the etiology of such involvement is by extemporaneous development of rheumatic fever, with late involvement of this valve.[scielo.br]
  • Etiology Most commonly accepted mechanism : Group A β-hemolytic streptococcus ( Streptococcus pyogenes ) (G AS) : ac ute tonsillitis or pharyngitis (“ strep throat ”) without antibiotic treatment antibodies develop against streptococcal M protein cross-reaction[amboss.com]
  • New observations on the etiology of aortic valve disease: a surgical pathologic study of 236 cases from 1990. Hum Pathol . 1993 Dec. 24(12):1330-8. [Medline] . Veinot JP. Pathology of inflammatory native valvular heart disease.[emedicine.medscape.com]

Epidemiology

  • References: [2] [3] [4] Epidemiological data refers to the US, unless otherwise specified.[amboss.com]
  • Changes in the clinical and epidemiological features of group A streptococcal bacteraemia in Australia’s Northern Territory. Trop Med Int Health 2015;20:40-7. Kim S, Lee NY.[nps.org.au]
  • Epidemiology of acute rheumatic fever in New Zealand 1996-2005. J Paediatr Child Health . 2008 Oct. 44(10):564-71. [Medline] . Cunningham MW. T cell mimicry in inflammatory heart disease. Mol Immunol . 2004 Feb. 40(14-15):1121-7. [Medline] .[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • ., inappropriate laughing/crying , agitation , anxiety, apathy, obsessive-compulsive behavior) Epidemiology ( 2:1 ) Longer latent period than other rheumatic manifestations (presents several months following GAS infection ) Pathophysiology : Streptococcal[amboss.com]
  • Etiology and Pathophysiology Rheumatic fever is a late inflammatory, nonsuppurative complication of pharyngitis that is caused by group A-hemolytic streptococci. [4] Rheumatic fever results from humoral and cellular-mediated immune responses occurring[emedicine.medscape.com]

Prevention

  • […] comprehensive coverage of every aspect of cardiovascular medicine from cardiac signs and symptoms and the full range of cardiac imaging techniques through management of peripheral vascular disease and the genetic basis for cardiovascular disease to preventive[books.google.de]
  • Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive[jamanetwork.com]
  • References: [4] [16] [17] Prognosis Prevention Primary prevention : prompt antibiotic treatment (e.g., penicillin V ) of GAS tonsillopharyngitis diagnosed by throat culture or rapid strep test Secondary prevention Antibiotic prophylaxis to prevent recurrence[amboss.com]
  • Timor Leste). 34 This adds a further challenge to the prevention of this serious and potentially fatal condition.[nps.org.au]
  • No patient developed mitral or aortic stenosis: this suggests that regular prophylaxis may prevent the development of stenosis.[circ.ahajournals.org]

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