Acute rheumatic fever in young adult patients: a case report

Komang V. N. R. Kinasih; Anak A. I. S. K. Dewi

doi:10.18203/2349-3933.ijam20243785

Authors

Komang V. N. R. Kinasih Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia
Anak A. I. S. K. Dewi Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2349-3933.ijam20243785

Keywords:

Acute rheumatic fever, ARF, Young adults

Abstract

Acute rheumatic fever (ARF) is an inflammatory response to group A Streptococcus (GAS) infection. The incidence ranges from 8 to 51 per 100.000 children and young adults worldwide. A 19-year-old male patient admitted with complaint of abdominal pain and joint pain of knee in both legs and elbow in both hands. Multiple erythematous macules, round in shape, elevated of white blood cells and anti-streptolysin O titer (ASOT) are present in this case. The diagnosis of ARF is made using the Jones criteria. Intramuscular benzathine penicillin G as a single dose is recommended for management of ARF and as secondary prophylaxis to prevent recurrences. Comprehensive treatment was needed for patient with rheumatic fever to prevent reoccurrence and also complication which may arise.

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References

Webb RH, Grant C, Harnden A. Acute rheumatic fever. BMJ. 2015;351:h3443.

Chowdhury S, Koziatek C, Rajnik M. Acute Rheumatic Fever. Treasure Island (FL): StatPearls Publishing. 2023.

Fitriany J, Annisa I. Acute rheumatic fever. Averrous. 2019;5(2):11.

Auala T, Zavale BG, Mbakwem AÇ, Mocumbi AO. Acute Rheumatic Fever and Rheumatic Heart Disease: Highlighting the Role of Group A Streptococcus in the Global Burden of Cardiovascular Disease. Pathogens. 2022;11(5):496.

Arafuri N, Murni IK, Julia M, Nugroho S, Soehadi N. Survival of Rheumatic Heart Disease in Indonesian Children. Glob Heart. 2022;17(1):71.

Lahiri S, Sanyahumbi A. Acute Rheumatic Fever. Pediatr Rev. 2021;42(5):221-32.

Carapetis JR, Beaton A, Cunningham MW, Guilherme L, Karthikeyan G, Mayosi BM, et al. Acute rheumatic fever and rheumatic heart disease. Nat Rev Dis Primers. 2016;2(1):15084.

Karthikeyan G, Guilherme L. Acute rheumatic fever. The Lancet. 2018;392(10142):161-74.

Ralph AP, Noonan S, Wade V, Currie BJ. The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease. Med J Aust. 2021;214(5):220-7.

Kartikasari I, Akil S. Diagnosis and Management of Acute Rheumatic Fever. Qanun Medika. 2022;7(2).

Lilyasari O, Prakoso R, Kurniawati Y, Roebiono PS, Rahajoe AU, Sakidjan I, et al. Clinical Profile and Management of Rheumatic Heart Disease in Children and Young Adults at a Tertiary Cardiac Center in Indonesia. Front Surg. 2020;7:47.

Cilliers A, Adler AJ, Saloojee H. Anti-inflammatory treatment for carditis in acute rheumatic fever. Cochrane Database Syst Rev. 2015;5:CD003176.