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Stroke as First Presentation of Rheumatic Heart Disease in Pediatric Age Group - a Case Report from Developing

Temesgen Tsega Desta1,2, Mugwaneza Kalisa Peace2, Johnson Kayihura2

  • 1Rwanda Military Referral and Teaching Hospital (RMRTH), Kigali, Rwanda.

Pediatric Health, Medicine and Therapeutics
|November 25, 2025
PubMed

Insights

This case report highlights a rare instance of a 10-year-old boy whose first symptom of rheumatic heart disease (RHD) was an ischemic stroke. Early echocardiography is crucial for diagnosing RHD in children with stroke.

Area of Science:

  • Pediatric Neurology
  • Cardiology
  • Rheumatology

Background:

  • Rheumatic heart disease (RHD) is a chronic condition resulting from acute rheumatic fever.
  • Stroke is an uncommon initial presentation of RHD in children.
  • This report details a rare case of RHD presenting initially as ischemic stroke.
Abstract

Keywords:
cardioembolismpediatric strokerheumatic heart diseasesubclinical RHD

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