Livneh A, Sharma K, Sewell K L, Keiser H D
Department of Medicine, Sheba Medical Center, Tel-Hashomer, Israel.
Ann Rheum Dis. 1991 May;50(5):328-9. doi: 10.1136/ard.50.5.328.
The case presented is of a patient with migratory polyarthritis and serological evidence of a recent streptococcal infection, consistent with the diagnosis of acute rheumatic fever, who in addition had multisystem disease manifestations. This case supports the concept that the sequelae of streptococcal infection can encompass a broader clinical spectrum than is suggested by the Jones criteria for the diagnosis of acute rheumatic fever.
所呈现的病例是一名患有游走性多关节炎且有近期链球菌感染血清学证据的患者,符合急性风湿热的诊断,此外还伴有多系统疾病表现。该病例支持这样一种观点,即链球菌感染的后遗症所涵盖的临床范围比急性风湿热诊断的琼斯标准所提示的范围更广。