Recurrent acute rheumatic fever: A forgotten diagnosis?

Isaac S. Kadir, Thomas A. Barker, Bernard Clarke, Helen Denley, Geir J. Grötte

    Research output: Contribution to journalArticlepeer-review


    The incidence of acute rheumatic fever has seen a dramatic decline over the last 15 to 20 years in most developed countries and treatment of this disease has changed little since. The ease of travel and immigration and the cosmopolitan nature of many cities mean that occasionally the disease will come to the attention of clinicians not familiar with its presentation, resulting in delayed diagnosis and treatment. We present a case of recurrent acute rheumatic fever in a patient who was initially thought to be suffering from acute bacterial endocarditis on her previously diseased rheumatic aortic valve. This culminated in her undergoing urgent aortic valve replacement during a phase of the illness that should have been treated with high dose anti-inflammatory medication. Therefore, clinicians should be aware of this condition and include it in their differential diagnosis of the febrile patient with a previous history of rheumatic fever. We briefly discuss the diagnostic dilemma of patients suffering from this condition and in differentiating it from acute endocarditis. © 2004 by The Society of Thoracic Surgeons.
    Original languageEnglish
    Pages (from-to)699-701
    Number of pages2
    JournalAnnals of Thoracic Surgery
    Issue number2
    Publication statusPublished - Aug 2004


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