Muzafar NAİK, Tarik BHAT, Mubaraq NAQASH, İrfan YAQOOB

Transient type1 second degree av block in acute rheumatic fever

14 yaşında erkek hasta ateş ve gezici poliartritis ile başvurdu. Yapılan incelemeler sonrası ikinci derecede EKG'de Mobitz tip 1 AV blok, lökositoz, normal ESR, ASO ve ekokardiografi saptandı. ASO titresi 4.günde yükselmeye başladı. Akut romatizmal ateş tanısı WHO kriterleri kullanılarak konuldu. İkinci derecede AV blok 9.günde normale geldi. Akut romatizmal ateşin endemik olarak gözlendiği gelişen ülkelerde Mobitz tip 1 ikinci derecede AV blok başlangıçta streptokokal enfeksiyon olmazsa bile akut romatizmal ateşi düşündürmeli.

Akut romatizmal ateşte geçici tip 1 ikinci derecede av blok

A 14 years male presented with fever and migratory polyarthritis. Investigations revealed second degree AV block of Mobitz type 1 on ECG, leucocytosis, normal ESR, ASO titer and echocardiography. ASO titer repeated on 4 th day of admission was high. A diag- nosis of acute rheumatic fever was established by using World Health Organization criteria. The second degree Atrioventricular (AV) block reverted back to normal sinus rhythm on day nine. In developing nations where acute rheumatic fever remains endemic second degree AV block of Mobitz type 1 in teenagers should prompt to the diagnosis of acute rheumatic fever even if supporting evidence of streptococcal infection is absent initially.

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