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Recurrent rheumatic fever.

N H Murray, J N Fordham, P G Davies

    Annals of the Rheumatic Diseases
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Recurrent rheumatic fever is rare in adults, but this case shows a patient experiencing four distinct episodes. This highlights the possibility of late-onset or repeated rheumatic fever attacks.

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    Area of Science:

    • Rheumatology
    • Internal Medicine
    • Pediatric Cardiology

    Background:

    • Rheumatic fever is an inflammatory condition that can affect the heart, joints, brain, and skin.
    • Recurrence of rheumatic fever is a significant concern, particularly in younger individuals, and is typically associated with inadequate secondary prophylaxis.

    Observation:

    • This report details a rare case of an adult patient experiencing multiple recurrences of rheumatic fever.
    • The patient suffered four documented attacks of rheumatic fever, with two occurring in childhood and two in adulthood.

    Findings:

    • The case challenges the typical understanding that recurrence rates significantly decrease with age and longer intervals between attacks.
    • This presentation suggests that some adults may remain susceptible to recurrent rheumatic fever despite age-related declines in incidence.

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    Implications:

    • Clinicians should consider the possibility of recurrent rheumatic fever in adults presenting with suggestive symptoms, even if uncommon.
    • This case underscores the importance of long-term monitoring and appropriate management strategies for individuals with a history of rheumatic fever.
    • Further research may be needed to understand the specific factors contributing to late-onset or recurrent rheumatic fever in adults.