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Acute Rheumatic Fever Without Pharyngitis: A Case Report
Hiroki Suzuyama1, Ryutaro Hashimoto1, Fumiya Taketomi1
1Department of General Internal Medicine Fukuoka University Hospital Fukuoka Japan.
Abstract:
An 18-year-old man presented with fatigue and polyarthralgia refractory to nonsteroidal anti-inflammatory drugs (NSAIDs). He had no history of sore throat or other upper respiratory symptoms. Reactive arthritis was initially suspected. However, persistent symptoms, fever, polyarthritis, a cardiac murmur, atrioventricular block, and an elevated antistreptolysin O titer (739 IU/mL) suggested acute rheumatic fever. He met the revised Jones criteria for acute rheumatic fever. Treatment with amoxicillin and corticosteroids rapidly resolved his symptoms and electrocardiographic abnormalities.
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Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Rheumatic Heart Disease III: Medical Management
Streptococcal Pharyngitis
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.