A rare presentation of acut rheumatic fever: Pericardial tamponade Akut romatizmal ateşin nadir bir başvuru şekli: Perikardiyal tamponad
Turk Pediatri Arsivi, cilt.48, sa.4, ss.342-344, 2013 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 48 Sayı: 4
- Basım Tarihi: 2013
- Doi Numarası: 10.4274/tpa.874
- Dergi Adı: Turk Pediatri Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.342-344
- Anahtar Kelimeler: Acute rheumatic fever, children, pericardial tamponade
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Acute rheumatic fever is still an important health care problem in developing countries. In acute rheumatic fever that presents with pancarditis, the most common morbidities develop after involvement of the endocardium. Although pericardial disease generally presents with a relatively benign clinical features, massive pericardial effusion and associated cardiac tamponade can develop in rare cases and may cause mortality. In this study, we present the case of a 7-year-old male patient, who presented with fever and chest pain. Physical findings included high temperature (38.5 C°) tachycardia, tachypne, deep cardiac sounds and hepatomegaly. Electrocardiography findings revealed low QRS voltage and chest x-ray was compatible with cardiomegaly. Transthoracic echocardiography showed severe pericardial effusion which cause tamponade preventing atrial loading, severe mitral insufficiency, and mild aortic insufficiency. Laboratory results included elevated ASO (580 IU/ml) and erythrocyte sedimantation rate (80 mm/h). Primer prophylactic treatment including steroid was administrated and pericardiocentesis was performed. Pericardial tamponade associated with acute rheumatic fever is a rare clinical entity and only a few case reports have been reported, so far.