TY - JOUR T1 - 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 JF - Clinical Medicine JO - Clin Med SP - e206 LP - e208 DO - 10.7861/clinmed.2020-0163 VL - 20 IS - 5 AU - John Serelis AU - Nikolaos Alexopoulos AU - Fotini N Skopouli AU - Haralampos M Moutsopoulos Y1 - 2020/09/01 UR - http://www.rcpjournals.org/content/20/5/e206.abstract N2 - 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. ER -