Lessons of the month: Reemergence of rheumatic fever after a systemic streptococcal A infection: The role of cardiac MRI on the diagnosis of subclinical rheumatic carditis

John Serelis, Nikolaos Alexopoulos, Fotini N Skopouli and Haralampos M Moutsopoulos
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DOI: https://doi.org/10.7861/clinmed.2020-0163
Clin Med September 2020

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Figures

  • Fig 1.
    Fig 1.

    a) Photograph of an erythematous plaque (diameter of 2 cm) on the nose. b) Electrocardiography revealing inverted T waves (on the inferior II, III and aVF, and lateral leads V5 and V6).

  • Fig 2.
    Fig 2.

    a) Increased signal intensity in T2-weighted (STIR) magnetic resonance imaging sequence and (b) late-gadolinium enhancement imaging of the sub-epicardial layer of the basal-inferior, basal-inferolateral and apical lateral left ventricular wall (arrows), findings are compatible with acute focal myocarditis.

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Lessons of the month: Reemergence of rheumatic fever after a systemic streptococcal A infection: The role of cardiac MRI on the diagnosis of subclinical rheumatic carditis
John Serelis, Nikolaos Alexopoulos, Fotini N Skopouli, Haralampos M Moutsopoulos
Clinical Medicine Sep 2020, 20 (5) e206-e208; DOI: 10.7861/clinmed.2020-0163
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