Complete atrioventricular block in an adolescent with acute rheumatic fever: a case report
Abstract
Acute rheumatic fever (ARF) is an autoimmune, multiorgan inflammatory disease that occurs in genetically susceptible individuals after group A-hemolytic streptococcal infection. Carditis and polyarthritis are the most common symptoms of ARF. Repeated streptococcal infections can cause recurrent valvulitis and valvular heart disease.
Prolonged atrioventricular conduction (first-degree heart block) is a well-known symptom of ARF, occurring in one-fifth to three-fifths of patients. This condition is a minor criterion for diagnosing ARF based on Jones's criteria. Advanced conduction delay, such as a second-degree or a complete atrioventricular (AV) block, is a rare condition of ARF that can occur before symptoms like carditis, polyarthritis, and Sydenham chorea appear. We present a case of ARF in an adolescent with complete AV block.
References
1. Rahmawaty NK, Iskandar B, Albar H, Daud D. Faktor risiko serangan berulang demam rematik/penyakit jantung rematik. Sari Pediatr. 2012;14:179–84. DOI: https://doi.org/ 10.14238/sp14.3.2012.179-84
2. Lahiri S, Sanyahumbi A. Acute rheumatic fever. Pediatr Rev. 2021;42:221–32.
DOI: https://doi.org/10.1542/pir.2019-0288
3. Atmani S SF. Presyncope due to a complete atrioventricular block revealing a rheumatic heart disease. J Clin Case Reports. 2014;04:1000386. DOI: https://doi.org/10.4172/2165-7920.1000386
4. Umapathy S, Saxena A. Acute rheumatic fever presenting as complete heart block: Report of an adolescent case and review of the literature. BMJ Case Rep. 2018;2018:2017–9. DOI: https://doi.org/10.1136/bcr-2017-223792
5. Yoo GH. Complete atrioventricular block in an adolescent with rheumatic fever. Korean Circ J. 2009;39:121–3. DOI: https://doi.org/ 10.4070/kcj.2009.39.3.121
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Accepted 2024-02-28
Published 2024-02-28
