Pulmonary Edema in the Acute Stage of Rheumatic Fever Treated with Double-Valve Replacement in a Pediatric Patient

Abstract

Cardiogenic pulmonary edema (CPE) is a rare clinical condition of acute rheumatic fever (ARF) in the early stage. Generally, CPE can be convalesced by steroid and anticongestive treatment. Herein, we describe a case of a 14-year-old boy with ARF presenting with bilateral pulmonary edema secondary to acute mitral and aortic insufficiency. In this case, the pulmonary edema of ARF was successfully managed by combined surgical replacements of both valves.

Keywords

bilateral pulmonary edema - acute rheumatic fever - childhood

• References

• 1 Abdelnaby M, Almaghraby A, El Amin A, Saleh Y, Badran H. A Rare Case of Rheumatic Valvular Heart Disease with Multivalvular Affection: A Case Report. https://www.ecronicon.com/eccy/pdf/ECCY-05-00118.pdf . Accessed August 31, 2019
• 2 Animasahun BA, Madise-Wobo AD, Kusimo OY. Nigerian children with acquired heart disease: the experience in Lagos. J Tehran Heart Cent 2017; 12 (04) 160-166
• 3 JCTM. A Case Report of Recurrent Rheumatic Fever: Considerations and Comments. Available at: http://jctm.mums.ac.ir/article_8262.html . Accessed August 31, 2019
• 4 Park MK. Obstructive lesions. In: Park MK. Park's Pediatric Cardiology for Practitioners. Philadelphia, PA: Elsevier Saunders; 2014: 184-205
• 5 Remenyi B, Carapetis J. Acute Rheumatic Fever and Chronic Rheumatic Disease. In: Da Cruz E, Ivy D, Jaggers J. , eds. Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. London: Springer; 2019
• 6 Roychoudhury D, Nanda N, Hon J, Filsoufi F, Salma A, Akdogan R. Rheumatic mitral and aortic valve disease- a case report from USA. Cardiovasc J 2018; 11 (01) 81-85