Sydenham’s Chorea as Presentation of Rheumatic Heart Disease

Joshi, A; Shrestha, RPB; Shrestha, PS; Dangol, S; Shrestha, NC; Poudyal, P; Shrestha, A

Publication:
Sydenham’s Chorea as Presentation of Rheumatic Heart Disease

creativeworkseries.issn	1812-2027
dc.contributor.author	Joshi, A
dc.contributor.author	Shrestha, RPB
dc.contributor.author	Shrestha, PS
dc.contributor.author	Dangol, S
dc.contributor.author	Shrestha, NC
dc.contributor.author	Poudyal, P
dc.contributor.author	Shrestha, A
dc.date.accessioned	2025-10-09T07:23:52Z
dc.date.available	2025-10-09T07:23:52Z
dc.date.issued	2015
dc.description	Joshi A, Shrestha RPB, Shrestha PS, Dangol S, Shrestha NC, Poudyal P, Shrestha A Department of Pediatrics Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
dc.description.abstract	ABSTRACT Sydenham’s chorea is the most common type of acquired chorea in childhood which is a major neurological manifestation of rheumatic fever. We describe a 13 years old girl who presented with weakness and purposeless involuntary movements of upper and lower limbs. The symptoms slightly affected the child’s daily activities and had an unstable gait on walking which was aggravated during stress. Grade II ejection systolic murmur was noticed on cardiovascular examination. Echocardiography evaluation showed thickened aortic and mitral valve leaflets with mild to moderate degree of mitral regurgitation. Anti-streptolysin O titer was positive (≥200 IU/ml). CT scan of brain was normal. Subsequently child was diagnosed as Rheumatic heart disease with Sydenham’s chorea and kept on regular Benzathine penicillin prophylaxis. Symptoms subsided spontaneously after 3 months without any further complications. Although decreasing, early diagnosis and management of Sydenham’s chorea and Rheumatic heart disease are very crucial and should be considered with such presentation. KEYWORDS Carditis, penicillin prophylaxis, rheumatic fever, sydenham’s chorea.
dc.identifier.uri	https://hdl.handle.net/20.500.14572/2538
dc.language.iso	en_US
dc.publisher	Kathmandu University
dc.subject	Carditis
dc.subject	Penicillin prophylaxis
dc.subject	Rheumatic fever
dc.subject	Sydenham’s chorea
dc.title	Sydenham’s Chorea as Presentation of Rheumatic Heart Disease
dc.type	Article
dspace.entity.type	Publication
local.article.type	Case Report
oaire.citation.endPage	273
oaire.citation.startPage	271
relation.isJournalIssueOfPublication	3942b2ff-fff4-4abd-8a10-b93e578dc427
relation.isJournalIssueOfPublication.latestForDiscovery	3942b2ff-fff4-4abd-8a10-b93e578dc427
relation.isJournalOfPublication	a782b7ff-cf89-4178-ad1c-11ed89cfe1bd