Publication: Sydenham’s Chorea with Silent Cardiac Lesions, Mimicking Encephalitis in a 13 Year Old Girl
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Sydenham’s chorea is an uncommon neurological manifestation of rheumatic fever
and has many and varied differential diagnosis. It may mimic encephalitis when
presents as an isolated feature even when silent cardiac lesions are present. Early
diagnosis, treatment and penicillin prophylaxis prevents recurrence and progression
of cardiac lesions. Prompt symptomatic relief and alleviation of distress is obtained
with therapeutic intervention. A case of rheumatic chorea with silent cardiac valve
lesions which mimicked herpes simplex encephalitis with choreoathetosis, in a 13
year old girl is presented along with review of literature.
KEY WORDS
Chorea, Encephalitis, Rheumatic fever, Silent carditis
Description
Shakya KN, Bhatta A, Yadav A, Gautam U, Basnet S
Department of Pediatrics
Kathmandu Medical College,
Sinamangal, Kathmandu, Nepal
Keywords
Chorea, Encephalitis, Rheumatic fever, Silent carditis