从西德纳姆舞蹈病的临床表现诊断风湿热1例

M. Curi, Juliana Castanheira, Isabela Gomes Maldi, Marcella Mendonça, J. Cardoso, Fabiana Barsam, J. Lima
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引用次数: 0

摘要

Sydenhams舞蹈病的特点是肢体远端和面部区域的不自主运动,主要影响儿童时期的女性。它是由A群溶血性链球菌引起的咽扁桃体炎的并发症。本病例报告的目的是描述一个病例风湿热诊断从西德汉姆舞蹈病的临床图片。对一名女童进行了描述性病例研究,她12岁,因右下肢和上肢和面部不自主运动5天而到急诊病房就诊,她既往有感染史,上呼吸道感染伴自限性进化。体格检查发现,一般情况良好,四肢伸展和屈曲运动,双手开合运动,手指和面部运动,补充检查,除ASLO为217IU/ml外,未见任何变化。开始用氟哌啶醇、苄星青霉素治疗,学业进展无症状,舞蹈动作改善。本报告论证了Sydenhams舞蹈病与风湿热的晚期诊断之间的关系,并解释了充分和早期治疗管理的良好预后。
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The diagnosis of rheumatic fever by the clinical presentation of Sydenham chorea: case report
Sydenhams chorea is characterized by involuntary movements of the distal limbs and face region and mainly affects females during their childhood. It occurs by complication of pharyngotonsillitis caused by beta hemolytic streptococcus of the A group. This case report aims to describe a case of rheumatic fever diagnosed from a clinical picture of Sydenhams chorea. A descriptive case study of a female child was carried out, she was twelve years old, she sought the emergency care unit with involuntary movements in lower and upper rights limbs and face for five days, she had a previous history of infection an upper respiratory infection with self-limited evolution. The physical examination found, was in good general condition, with extension and flexion limbs movements, opening and closing hands movements, finger and face movements, complementary exams, they did not demonstrate any alterations, except ASLO of 217IU/ml. It was started a treatment with haloperidol, benzathine penicillin and and school progress evolved asymptomatic with improved choreatotic movements. This report demonstrates the relation between Sydenhams chorea and the late diagnosis of rheumatic fever, in addition to explaining the good prognosis from adequate and early therapeutic management.
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