Loyo-Ramírez A, Mata-Castañeda M

Language: Spanish
References: 11
Page: 115-121
PDF size: 481.60 Kb.

ABSTRACT

Rheumatic diseases in childhood have great relevance because they are considered potentially serious, with a great impact on the family and school environment. Rheumatic fever (RP) is an inflammatory, systemic disease characterized by the existence of lesions affecting the heart, joints, central nervous system, skin and subcutaneuous cellular tissue, as a sequela of a pharyngeal infection by Streptococcus pyogenes. It can manifest at any age, predominantly in the pediatric age, having it highest incidence between 5 and 15 years. We present a case of an 11-year-old patien in whom diagnosis of rheumatic fever was made in the pediatric outpatient department of this unit, fulfilling the updated diagnostic criteria of Jones. The diagnosis of secondary aortic valvulopathy was integraded by the cardiology service of this unit by echocardiogram. So far, only one case has been identified in the HIES in the last 5 years with aortic valve affection, so we decided to document it to avoid chronic complications in future patients.

REFERENCES

1. Camino-Benavides JE, Vásquez-Peralta MH, Cando- Ger AE, Cando-Guamialama YE. Aspectos relevantes para la prevención primaria, secundaria y terciaria de la fiebre reumática (artículo de revisión). Revista Cubana de Reumatología ISSN: 1817-5996. Mayo-Agosto 2017; 19(2): 73-78.

2. Steer A, Gibofsky A. Acute rheumatic fever. Ed. Up- ToDate. Wolters Kluwer: UpToDate Inc. [Internet]. 2018 [acceso 01 agosto]. Disponible en: http://www. uptodate.com

3. Santamaría-Díaz H, Gaytán G, Quiñónez-Gálvez RM, Gómez-Gómez M. Fiebre reumática ¿Es aún un problema en los niños? A propósito de un caso. Rev Mex Pediatr. 2006; 73(3): 127-131.

4. Secretaría de Salud. Boletín Epidemiológico, Sistema Nacional de Vigilancia Epidemiológica, Sistema Único de Información. 2019 (enero); 52(35).

5. Gewitz MH, Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, et al. Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography. Circulation. 2015; 1311: 1806-1818.

6. Prevención y diagnóstico oportuno de fiebre reumática. Catálogo Maestro de Guías de Práctica Clínica. México: Secretaría de Salud; 2008.

7. Kayali S, Belder R. Subclinical rheumatic heart disease: a single center experience. North Clin Istan. 2018; 13; 5(4): 329-333.

8. Branco CEB. Is population-base screening for rheumatic heart disease precluded by the Cairo accodr? Echochardiograph and beyond. Congenital Heart Dis. 2018; 13(6): 1069-1071.

9. Xiao F, Rui Zheng, Di Yang, Kejiang Cao, Shijiang Zhang, Bingruo Wu, et al. Sex-dependent aortic valve pathology in patients with rheumatic heart disease. PLoS One. 2017; 29; 12(6): e0180230.

10. Carapetis JR. Acute rheumatic fever and rheumatic heart disease. Nat Rev Dis Primers. 2016; 14(2): 15084.

11. Amarilyo G, Chodick G, Zalcman J, Koren G, Levinsky Y, Somekh I, et al. Poor long-term adherence to secondary penicilin prophylaxis in children with history of rheumatic fever. Semin Arthritis Rheum. 2019; 48(6): 1019-1024.