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Neurology
Adult-onset acute rheumatic fever with chorea and carditis
  1. Hasara Jayasekara1,
  2. Janitha Sampath Wickramarathne1 and
  3. Peduru Arachchige Jayasinghe2
  1. 1 Postgraduate Institute of Medicine, Colombo, Sri Lanka
  2. 2 Teaching hospital, Karapitiya, Galle, Sri Lanka
  1. Correspondence to Dr Hasara Jayasekara; hasarajay{at}gmail.com

Abstract

Rheumatic fever is a major cause of cardiovascular morbidity and mortality in low-income and middle-income countries, and it usually occurs at a young age. Adult-onset acute rheumatic fever is a rare condition and usually represents a recurrence of childhood-onset disease. We report a case of an elderly man presenting with rheumatic carditis and rheumatic chorea subsequently diagnosed with adult-onset rheumatic fever.

  • Cardiovascular medicine
  • Valvar diseases
  • Movement disorders (other than Parkinsons)

https://doi.org/10.1136/bcr-2023-258920

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    Footnotes

    • Contributors The following authors were responsible for drafting the text, sourcing and editing the clinical investigations, and critical revision for intellectual content: HJ, JSW, PAJ. The following author gave the final approval for the manuscript: PAJ.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.