Günal N, Atakan C, Köse G, Atasay B
Pediatric Cardiology Unit, Social Security Children's Hospital, Ankara.
Turk J Pediatr. 1998 Oct-Dec;40(4):585-8.
An eight-year-old girl is presented with three major criteria of acute rheumatic fever: polyarthritis, carditis and chorea. The diagnosis was confirmed with a history of pharyngitis 15 days prior to admission and with the findings of positive acute phase reactants such as elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), elevated anti-streptolysin-O (ASO) titration, and clinical findings of polyarthritis, carditis and chorea. Patient responded well to salicylate and phenobarbital treatment. The rare association of these three major criteria in acute rheumatic fever is emphasized.
多关节炎、心脏炎和舞蹈病。根据入院前15天的咽炎病史以及急性期反应物阳性的检查结果确诊，如红细胞沉降率（ESR）和C反应蛋白（CRP）升高、抗链球菌溶血素O（ASO）滴度升高，以及多关节炎、心脏炎和舞蹈病的临床表现。患者对水杨酸盐和苯巴比妥治疗反应良好。文中强调了急性风湿热中这三项主要标准的罕见关联。
