Rheumatic heart disease
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Rheumatic heart disease
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A 10-year-old girl comes to the clinic because of involuntary movement of her face and extremities for the past 2 weeks. Her mother mentions the patient was treated for a sore throat 2 months ago. Physical examination shows slurred speech, poor finger-to-nose coordination, and inability to clench her fists for prolonged periods. Oropharyngeal examination shows no abnormalities. Laboratory tests show elevated anti-streptolysin O. An echocardiogram shows mild mitral regurgitation and a thickened mitral valve. Which of the following is the most likely diagnosis?
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Content Reviewers:
Rishi Desai, MD, MPH, Tanner Marshall, MSContributors:
“Rheumatism” is used to describe inflammation in the joints, muscles, and the fibrous tissue, so rheumatic fever is a type of inflammatory disease that can damage the heart tissue, and lead to rheumatic heart disease.
Rheumatic fever develops after streptococcal pharyngitis, inflammation of the th