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Aortic Regurgitation and Pericarditis

Aortic Regurgitation and Pericarditis Abstract History of Present lllness.—The patient was a 13-year-old white boy who was in good health until five weeks prior to his first admission to this hospital on June 2, 1967. At this time, he complained of a sore throat which lasted one to two days. Two and one-half weeks prior to admission he had "flu" and nine days prior to admission, his temperature rose briefly to 40 C (104 F). Two days later, he was seen by a physician who told the parents that the child had a heart murmur. He was hospitalized elsewhere five days prior to admission, and the parents were told that he had rheumatic fever. He was treated with penicillin, 400,000 units intramuscularly every six hours, and aspirin. There was no history of arthralgia, erythema marginatum, joint swelling, subcutaneous nodules, or neurological changes. He was then transferred to this hospital. Physical Examination at the Time References 1. Jones Criteria (Revised) for Guidance in the Diagnosis of Rheumatic Fever, Ad Hoc Committee to Revise the Jones Criteria of the Council on Rheumatic Fever and Congenital Heart Disease of the American Heart Association, American Heart Association, 1965. 2. Edwards, J.E.: The Congenital Bicuspid Aortic Valve , Circulation 23:485-487 ( (April) ) 1961.Crossref 3. Stanton, R.E.; Lindesmith, G.G.; and Meyer, B.W.: Escherichia coli Endocarditis After Repair of Ventricular Septal Defects , New Eng J Med 279: 737-742 ( (Oct 3) ) 1968.Crossref 4. Hudson, R.E.B.: Cardiovascular Pathology , Williams & Wilkins, 1965, pp 1037,1191, and 1939. 5. Rodbard, S.: Blood Velocity and Endocarditis , Circ 27:18 ( (Jan) ) 1963.Crossref 6. Beeson, P.B., et al: Textbook of Medicine , ed 12, W. B. Saunders Co., 1967. 7. Friedberg, C.K.: Diseases of the Heart , ed 3, W. B. Saunders Co., 1966, pp 1128, 1378. 8. Doyle, E., et al: Risk of Bacterial Endocarditis During Antirheumatic Prophylaxis , JAMA 201:807 ( (Sept 11) ), 1967.Crossref 9. Waldhausen, J.A.; Petry, E.L.; and Kurlander, G.J.: Successful Repair of Subvalvular Annular Aneurysm of the Left Ventricle , New Eng J Med 275:984-987 ( (Nov 3) ) 1966.Crossref 10. Abrahams, D.G., et al: Annular Subvalvar Left Ventricular Aneurysms , Quart J Med 31:345-360, 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Aortic Regurgitation and Pericarditis

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1970.02100050184022
Publisher site
See Article on Publisher Site

Abstract

Abstract History of Present lllness.—The patient was a 13-year-old white boy who was in good health until five weeks prior to his first admission to this hospital on June 2, 1967. At this time, he complained of a sore throat which lasted one to two days. Two and one-half weeks prior to admission he had "flu" and nine days prior to admission, his temperature rose briefly to 40 C (104 F). Two days later, he was seen by a physician who told the parents that the child had a heart murmur. He was hospitalized elsewhere five days prior to admission, and the parents were told that he had rheumatic fever. He was treated with penicillin, 400,000 units intramuscularly every six hours, and aspirin. There was no history of arthralgia, erythema marginatum, joint swelling, subcutaneous nodules, or neurological changes. He was then transferred to this hospital. Physical Examination at the Time References 1. Jones Criteria (Revised) for Guidance in the Diagnosis of Rheumatic Fever, Ad Hoc Committee to Revise the Jones Criteria of the Council on Rheumatic Fever and Congenital Heart Disease of the American Heart Association, American Heart Association, 1965. 2. Edwards, J.E.: The Congenital Bicuspid Aortic Valve , Circulation 23:485-487 ( (April) ) 1961.Crossref 3. Stanton, R.E.; Lindesmith, G.G.; and Meyer, B.W.: Escherichia coli Endocarditis After Repair of Ventricular Septal Defects , New Eng J Med 279: 737-742 ( (Oct 3) ) 1968.Crossref 4. Hudson, R.E.B.: Cardiovascular Pathology , Williams & Wilkins, 1965, pp 1037,1191, and 1939. 5. Rodbard, S.: Blood Velocity and Endocarditis , Circ 27:18 ( (Jan) ) 1963.Crossref 6. Beeson, P.B., et al: Textbook of Medicine , ed 12, W. B. Saunders Co., 1967. 7. Friedberg, C.K.: Diseases of the Heart , ed 3, W. B. Saunders Co., 1966, pp 1128, 1378. 8. Doyle, E., et al: Risk of Bacterial Endocarditis During Antirheumatic Prophylaxis , JAMA 201:807 ( (Sept 11) ), 1967.Crossref 9. Waldhausen, J.A.; Petry, E.L.; and Kurlander, G.J.: Successful Repair of Subvalvular Annular Aneurysm of the Left Ventricle , New Eng J Med 275:984-987 ( (Nov 3) ) 1966.Crossref 10. Abrahams, D.G., et al: Annular Subvalvar Left Ventricular Aneurysms , Quart J Med 31:345-360, 1962.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Feb 1, 1970

References