Abstract
CRITICAL MITRAL STENOSIS ASSOCIATED WITH INDOLENT CARDITIS: A RARE PRESENTATION OF PEDIATRIC RHEUMATIC HEART DISEASE.

*Dr. Rajkumar M. Meshram (MD), Dr. Swapnil Bhongade (MD), Dr. Nikita Gupta and Dr. Shweta Dhasal

ABSTRACT

Although the prevalence of rheumatic fever has declined in most developed countries, the disease continues to be quite common elsewhere. Isolated severe rheumatic mitral stenosis in children and young adults is frequently encountered in developing countries. A 9 years old school going female was presented with hemoptysis and chest pain without any history suggestive of rheumatic fever in past with cardiovascular examination showed finding of rheumatic mitral stenosis with severe pulmonary hypertension which was confirmed by echocardiography. She was successfully treated with diuretics, antibiotics, balloon mitral valvotomy and she was on long term penicillin prophylaxis. Though hemoptysis is one of commonest presentation of respiratory diseases, rheumatic mitral stenosis should be considered in children of developing countries.

Keywords: Rheumatic fever, Rheumatic heart disease, Mitral stenosis, Indolent carditis.


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