Acute rheumatic fever

Case contributed by David Preston , 18 May 2013
Diagnosis probable
Changed by Henry Knipe, 12 Oct 2019

Updates to Freetext Attributes

Description was added:

After retrieval to a tertiary hospital, the patient was intubated and requiring inotropes. An ECHO was obtained which showed torrential regurgitation of the mitral and aortic valves. A diagnosis of rheumatic heart disease was made. Treatment included high dose aspirin.

Updates to Freetext Attributes

Description was added:

The patient went to theatre for mitral and aortic valve replacement. 

Updates to Study Attributes

Findings was changed:

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

Cardiomegaly is now clearly seen. 

Images Changes:

Image X-ray (Frontal) ( update )

Description was removed:
After retrieval to a tertiary hospital the patient was intubated and requiring inotropes. An ECHO was obtained which showed torrential regurgitation of the mitral and aortic valves.

Updates to Study Attributes

Findings was changed:

The patient went to theatrePost thoracotomy. Valvular protheses noted. ETT, NGT, CVC and had a mitral and aortic valve replacementintercostal catheter present.

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

Updates to Case Attributes

Title was changed:
Acute rheumatic fever - chest radiographic findings
Age changed from 16 to 16 years.
Body was added:

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

  • +<p>Recovery was swift and transfer to the ward then back to the country soon followed.</p>

Systems changed:

  • Chest
  • Paediatrics

Updates to Link Attributes

Title was removed:
Acute rheumatic fever - chest radiographic findings
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

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