Novel Finding of Coronary Ectasia in a Case of Acute Rheumat
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Acute rheumatic fever (ARF) results from a cellular and humoral autoimmune response after infection by Streptococcus pyogenes. Clinically diagnosed using the Jones criteria , it typically occurs about three weeks after group A streptococcus infection. Carditis involving the valves, myocardium, and/or pericardium occurs in 30–70% of patients with ARF. A 10-year-old boy presented to his pediatrician with acute fever, rash, and polyarthritis. Laboratory studies revealed elevated inflammatory markers and positive throat culture. Echocardiogram demonstrated panvalvular insufficiency consistent with acute rheumatic fever (ARF) and coronary artery ectasia. This latter finding, typically associated with Kawasaki disease, has not been previously reported in ARF....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722906/
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