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Case Reports
. 2020 Nov 4:2020:8854868.
doi: 10.1155/2020/8854868. eCollection 2020.

Severe Pharyngodynia Followed by Migratory Polyarthritis and High Fever in Young Immigrants: Remember That Rheumatic Fever Is Still Relevant in 2020!

Kalliopi Azariadis  1 , George Giannoulis  1 , Stella Gabeta  1 , Anastasia Michail  1 , Kalliopi Zachou  1   2 , George N Dalekos  1   2
Affiliations
Case Reports

Severe Pharyngodynia Followed by Migratory Polyarthritis and High Fever in Young Immigrants: Remember That Rheumatic Fever Is Still Relevant in 2020!

Kalliopi Azariadis et al. Case Rep Infect Dis. .

Abstract

Acute rheumatic fever (ARF) is the immune-mediated sequelae of untreated group-A streptococcal infection. In this regard, rheumatic heart disease is the most prominent manifestation with devastating long-term complications. In the postantibiotic era, ARF is extremely rare in high-income countries; thus, its diagnosis might escape the clinicians' notice. However, its incidence remains high not only in certain low- and middle-income regions with poor public health systems but also in socioeconomically vulnerable populations residing in high-income countries. Herein, we report two cases of ARF in young immigrant adults in order to highlight the need for increased clinical suspicion to establish a prompt and timely diagnosis of ARF and describe in detail its differential diagnosis and approach to treatment.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Electrocardiogram (ECG) findings in patient 2.
See this image and copyright information in PMC

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