Güvenç Osman, Çimen Derya
Division of Pediatric Cardiology, Gynecologic and Pediatric Hospital, Batman.
Division of Pediatric Cardiology, Medova Hospital, Konya, Turkey.
Turk J Pediatr. 2017;59(4):497-500. doi: 10.24953/turkjped.2017.04.021.
Güvenç O, Çimen D. A rare situation in acute rheumatic carditis: Involvement of all four valves. Turk J Pediatr 2017; 59: 497-500. Acute rheumatic fever continues to be an important health problem, especially in countries that are socioeconomically underdeveloped. Carditis, which develops in approximately half of the patients, is responsible for both early-stage mortality as well as late-stage surgical treatment due to heart valve insufficiency or stenosis. The most frequent and severe valve involvement is with the mitral valve, while the aortic valve has the second highest incidence of involvement. Pulmonary and tricuspid valves are rarely involved. The literature cites a few adult cases in which all four valves are affected by rheumatic carditis; however, to the best of our knowledge, there have been no acute-stage rheumatic carditis pediatric cases reported. This article presents a 13-year-old male patient of Syrian origin who escaped to Turkey from the war in his country, and who was in the acute stage of rheumatic carditis in which all four valves were involved.
居文茨·O、齐门·D。急性风湿性心脏炎的一种罕见情况：四个瓣膜均受累。《土耳其儿科学杂志》2017年；59：497 - 500。急性风湿热仍然是一个重要的健康问题，尤其是在社会经济欠发达的国家。大约一半的患者会发生心脏炎，它既导致早期死亡，也导致后期因心脏瓣膜关闭不全或狭窄而进行手术治疗。最常受累且最严重的瓣膜是二尖瓣，而主动脉瓣受累的发生率位居第二。肺动脉瓣和三尖瓣很少受累。文献中提到了一些成年病例，其中四个瓣膜均受风湿性心脏炎影响；然而，据我们所知，尚无急性阶段风湿性心脏炎儿科病例的报道。本文介绍了一名13岁的叙利亚裔男性患者，他从本国战争中逃到土耳其，处于风湿性心脏炎急性阶段，四个瓣膜均受累。
