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J. O. SIECK, M. AWAD, J. SAOUR, H. ALI, W. QUNIBI, E. MERCER, Concurrent post-streptococcal carditis and glomerulonephritis: serial echocardiographic diagnosis and follow-up, European Heart Journal, Volume 13, Issue 12, December 1992, Pages 1720–1723, https://doi.org/10.1093/oxfordjournals.eurheartj.a060130
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Abstract
The two non-suppurative post-streptococcal events, acute rheumatic fever and acute glomerulonephritis, rarely occur simultaneously. We describe such a patient, a 16-year-old male who was admitted with fever, agitation and confusion. Blood work-up showed high antistreptolysin O titre, raised serum creatinine and low complement levels. Urinalysis showed RBC casts. Echocardiographic examination demonstrated markedly impairedleft ventricular systolic and diastolic function and three large thrombi in the apex. Serial echocardiographic examinations revealed improvement of cardiac function and the resolution of the thrombi and both cardiac and renal function returned to normal after 3 weeks of treatment.
- acute rheumatic fever
- echocardiography
- glomerulonephritis
- renal function
- urinary casts
- fever
- complement system proteins
- diastole
- follow-up
- heart ventricle
- streptococcus
- suppuration
- systole
- urinalysis
- diagnosis
- heart
- thrombus
- carditis
- agitation
- cardiac function
- creatinine tests, serum
- antistreptolysin o