Progression of Rheumatic Heart Disease: A Case of Failed Secondary Prevention

Arnold Gan; Vu Pham; Michael Fong; Kusha Davar

doi:10.1016/j.jaccas.2024.102620

Progression of Rheumatic Heart Disease: A Case of Failed Secondary Prevention

JACC Case Rep. 2024 Oct 16;29(20):102620. doi: 10.1016/j.jaccas.2024.102620.

Authors

Arnold Gan¹, Vu Pham¹, Michael Fong², Kusha Davar³

Affiliations

¹ Department of Internal Medicine, Keck Medicine of USC, Los Angeles, California, USA.
² Division of Cardiology, Keck Medicine of USC, Los Angeles, California, USA.
³ Division of Infectious Disease, Los Angeles General Medical Center, Los Angeles, California, USA.

Abstract

Recurrent acute rheumatic fever in patients who have completed secondary antibiotic prophylaxis is exceedingly rare. This paper presents a case of recurrent acute rheumatic fever with progressive rheumatic heart disease in a middle-aged woman requiring emergent surgical valvular repair and an additional course of secondary antibiotic prophylaxis.

Keywords: acute rheumatic fever; group A streptococcus; recurrent acute rheumatic fever; rheumatic heart disease; valvular heart disease.

Publication types

Case Reports