PT  - JOURNAL ARTICLE
AU  - John Serelis
AU  - Nikolaos Alexopoulos
AU  - Fotini N Skopouli
AU  - Haralampos M Moutsopoulos
TI  - 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
AID  - 10.7861/clinmed.2020-0163
DP  - 2020 Sep 01
TA  - Clinical Medicine
PG  - e206--e208
VI  - 20
IP  - 5
4099  - http://www.rcpjournals.org/content/20/5/e206.short
4100  - http://www.rcpjournals.org/content/20/5/e206.full
SO  - Clin Med2020 Sep 01; 20
AB  - A 42-year-old man presented with fever, sore throat, rash and painful right knee swelling, preceded by self-medication with oral steroids. Blood and knee cultures yielded group A Streptococcus. After 2 weeks of intravenous antibiotics and two arthroscopic knee debridements, he continued to experience spiking fevers, and electrocardiographic changes developed. We postulate that the patient suffered from the first presentation of acute rheumatic fever, following an invasive group A bacteraemic streptococcal infection. The possible role of cardiac magnetic resonance imaging in the diagnosis of rheumatic carditis is discussed.