Myette Robert L
Department of Pediatrics, Queen's University at Kingston Health Science Centre, Kingston, Ontario, Canada.
Case Rep Infect Dis. 2020 Feb 8;2020:1470697. doi: 10.1155/2020/1470697. eCollection 2020.
. Acute rheumatic fever (ARF) is a manifestation of the nonsuppurative sequelae of infection. Herein, two cases of ARF are presented to highlight that this disease is present in urban cities, can be diagnosed in otherwise healthy children, and that its diagnosis may be challenging, or marred with confounders, leading to delays in diagnosis. . Two unrelated children, age 7 and 9, presented to an urban hospital in Canada with unique manifestations of ARF. Diagnosis of ARF in the first patient was interrupted by a course of steroids which masked symptoms leading to therapeutic delays. The second patient presented with facial droop and symptoms thought to be viral, thus leading to misdiagnosis as Bell's palsy. . ARF is more common in underserviced and marginalized populations, which may lead clinicians in urban centers to overlook signs or symptoms suggestive of ARF because they no longer see this condition routinely, or they believe it is a disease of the past.
急性风湿热（ARF）是感染非化脓性后遗症的一种表现形式。在此，呈现两例ARF病例，以强调这种疾病在城市中存在，可在其他方面健康的儿童中被诊断出来，并且其诊断可能具有挑战性，或受到混杂因素影响，导致诊断延迟。两名无关儿童，年龄分别为7岁和9岁，因ARF的独特表现就诊于加拿大一家城市医院。第一名患者的ARF诊断因使用类固醇疗程而中断，该疗程掩盖了症状，导致治疗延迟。第二名患者表现为面部下垂及被认为是病毒性的症状，因此被误诊为贝尔麻痹。ARF在服务不足和边缘化人群中更为常见，这可能导致城市中心的临床医生忽视提示ARF的体征或症状，因为他们不再经常见到这种疾病，或者他们认为这是一种过去的疾病。
