Brito M J, Afonso I, Flores H, Pinto S, Macedo A J, Trindade L, Freitas O, Almeida T, Cruz A, Costa G G
Serviço Pediatria, Hospital de Da. Estefânia, Lisboa.
Acta Med Port. 1996 Oct-Dec;9(10-12):401-5.
Bearing in mind that in the last years there has been an increase in rheumatic fever episodes, the authors evaluate the cases recently observed in the department. The data of 3 children born and living in Portugal, the first known outbreak of rheumatic fever observed between June 93 and March 94, were examined. One case presented polyarthritis, another polyarthritis and carditis and the third chorea and carditis. In just one case was the diagnosis of rheumatic fever considered in the beginning, and over-all, failures in the diagnosis and treatment of tonsillitis, and in echocardiographic diagnosis were detected. In view of these examples, the authors conclude that the increasing incidence and morbidity of rheumatic fever is more probably due to forgetfulness of old attitudes than to new causes. Delay in the diagnosis and errors in secondary prophylaxis may influence long term results.
鉴于在过去几年中风湿热发作有所增加，作者对该科室近期观察到的病例进行了评估。研究了3名在葡萄牙出生并生活的儿童的数据，这是1993年6月至1994年3月期间首次发现的风湿热暴发。1例出现多关节炎，另1例有多关节炎和心脏炎，第3例有舞蹈病和心脏炎。一开始只有1例被考虑诊断为风湿热，总体而言，发现了扁桃体炎诊断和治疗以及超声心动图诊断方面的失误。鉴于这些例子，作者得出结论，风湿热发病率和发病率的增加更可能是由于对旧有观念的遗忘，而非新的病因。诊断延迟和二级预防中的错误可能会影响长期结果。
