Bülent ORAN, Osman GÜVENÇ, Derya ÇİMEN, Derya ARSLAN

KOLŞİSİN VE DÜŞÜK DOZ STEROİD KULLANAN AKUT ROMATİZMAL KARDİT: OLGU SUNUMU

Akut romatizmal ateş, sıklıkla eklemleri ve kalbi tutan, A grubu β hemolitik Streptokokların romatojenik suşlarının yol açtığı üst solunum yolu enfeksiyonundan sonra gelişen, siste-mik bir hastalıktır. Gelişmekte olan ülkelerde edinilmiş kalp hastalıklarının en önemli ne-denidir. Hastalığın mortalitesini ve morbiditesini kalp tutulumu belirler. Hastalığın spesifik bir bulgusu yoktur, tanıda modifiye Jones kriterleri kullanılır. Burada, üç aydır şikâyetleri devam eden bir akut romatizmal ateş olgusu sunuldu. Hastalığın teşhisinde ve hastaya uygun tedavinin verilmesinde hala zorluklar yaşandığı vurgulanmak istendi.

Colchicine and Low-Dose Steroid Therapy in Acute Rheumatic Carditis: Case Report

Acute rheumatic fever is a multisystemic disease which mostly effects joints and heart. The disease occurs after upper respiratory tract infection caused by group A β-hemolytic streptococci rheumatogenic strains. Acute rheumatic fever is the most common acquired heart disease in developing countries. Cardiac invovement determines the mortality and the morbidity of the disease. There are no specific symptoms or signs related with the disease, so modified Jones criteria are used primarly for the diagnosis. In this report wepresent a patient with acute rheumatic fever that has symptoms for three months. We want to higlight that there are stil difficulties in diagnosis and the appropriate management of acute rheumatic fever.

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