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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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[Lyme disease. Is it so uncommon?].

Fernández M Alonso

    Semergen
    |June 5, 2014
    PubMed
    Summary

    Lyme disease, a tick-borne illness caused by Borrelia burgdorferi, presents with diverse symptoms and is treatable with antibiotics. Prompt treatment ensures a good prognosis, preventing potential chronic neurological issues.

    Area of Science:

    • Infectious Diseases
    • Rheumatology
    • Neurology

    Background:

    • Lyme disease is a tick-borne illness caused by Borrelia burgdorferi sensu lato.
    • It manifests as a multisystem disease with potential rheumatic, dermatological, neurological, and cardiac symptoms.

    Observation:

    • The characteristic skin lesion is erythema migrans, though it is not consistently present.
    • Clinical diagnosis relies on serological testing.

    Findings:

    • Treatment typically involves tetracycline for adults and amoxicillin for children and pregnant women.
    • Cephalosporins are used for neurological manifestations.

    Implications:

    • Early and appropriate antibiotic treatment leads to a favorable prognosis.

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  • Delayed treatment can result in chronic, potentially disabling neurological complications.
  • In Spain, with low incidence, antimicrobial prophylaxis post-tick bite is recommended.