To cite: Noroozian N, Bashir A, Bradlow W, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201918 DESCRIPTION A lady in her late 30s was admitted with a 2-week history of shortness of breath and productive cough. She had been treated for presumed lower respiratory tract infection but had not clinically improved. Her medical history includes rheumatic ...

BACKGROUND Acute rheumatic fever and its sequels, rheumatic heart diseases, remain major unsolved preventable health problems in Kosovo population, particularly among the disadvantages indigenous Albanian and Egyptians people. In Kosovo, despite of performing secondary prophylaxis with benzathine penicillin, acute rheumatic fever hospitalization rates have remained essentially unchanged for the...

This report describes 30 patients under the age of 30 years with rheumatic aortic stenosis, presenting with combined aortic and mitral stenosis. Three patients had additional tricuspid stenosis. Twenty-eight patients gave a history of rheumatic polyarthritis. The diagnosis was confirmed by right and left heart catheterisation in all. The murmur of aortic stenosis was not initially present in 8 ...

In developing countries, rheumatic fever and carditis still constitutes a major public health problem. Patients have special characteristics that differ from those with rheumatic mitral valve disease we still see in developed countries. They are usually young, poor, uneducated, and have low compliance to prophylaxis / therapy. In addition, they usually have great difficulty in accessing medical...

BACKGROUND Epidemiologic studies of the prevalence of rheumatic heart disease have used clinical screening with echocardiographic confirmation of suspected cases. We hypothesized that echocardiographic screening of all surveyed children would show a significantly higher prevalence of rheumatic heart disease. METHODS Randomly selected schoolchildren from 6 through 17 years of age in Cambodia a...

To cite: Tornos Mas P, Rodríguez-Palomares JF, Antunes MJ. Heart 2015;101:1840–1848. INTRODUCTION The tricuspid valve was virtually ignored for a long time in the past. However, the incidence of tricuspid insufficiency associated with left valvular disease is quite significant, ranging from 8% to 35% of cases. 2 This is most common in conjunction with mitral valve disease but association with a...

INTRODUCTION Data on clinical characteristics and outcomes of infective endocarditis (IE) in the Pacific are scarce. METHODS Retrospective hospital-based study in New Caledonia, a high-income country, on patients aged over 18 years with definite IE according to the modified Duke criteria (2005-2010). RESULTS 51 patients were included: 31 (60.8%) men; median age of 52.4 years (IQR 33.0-70.0)...

INTRODUCTION Rheumatic and congenital heart diseases account for the majority of hospital admissions for cardiac patients in India. Tetralogy of Fallot is the most common congenital heart disease with survival to adulthood. Infective endocarditis accounts for 4% of admissions to a specialized unit for adult patients with a congenital heart lesion. This report is unique in that a severe stenotic...