Acute rheumatic fever - chest radiographic findings

Case contributed by Dr David Preston

Presentation

This 16 year old indigenous youth was admitted to a rural hospital with high fevers and shortness of breath. Originally treated as having pneumonia.

Patient Data

Age: 16
Gender: Male

Plain chest film shows bilateral increased interstitial markings.

The patient was intubated and ventilated. A diagnosis of rheumatic heart disease was made. Treatment included high dose aspirin.

Cardiomegaly is now clearly seen. 

The patient went to theatre and had a mitral and aortic valve replacement.

Recovery was swift and transfer to the ward then back to the country soon followed.

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Case information

rID: 23053
Case created: 18th May 2013
Last edited: 19th Nov 2015
System: Cardiac
Inclusion in quiz mode: Included

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