Sydenham chorea in a12- year old Saudi girl

Sydenham chorea (SC) is the most common acquired cause of chorea in children.(SC) is the neurological manifestation of rheumatic fever. Rheumatic fever is still reported in Saudi Arabia, although less frequently. According to modified Jones criteria, carditis and arthritis are the major manifestatio...

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Main Authors: Hatem Hamed El-shorbagy, Fahad Khamis Al Omari, Hassan Mohsen Al Ghashmari, Salem Mohsen Al Zahrani, Mohamed Abdel Kader Ghoname
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:eNeurologicalSci
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405650220300253
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author Hatem Hamed El-shorbagy
Fahad Khamis Al Omari
Hassan Mohsen Al Ghashmari
Salem Mohsen Al Zahrani
Mohamed Abdel Kader Ghoname
author_facet Hatem Hamed El-shorbagy
Fahad Khamis Al Omari
Hassan Mohsen Al Ghashmari
Salem Mohsen Al Zahrani
Mohamed Abdel Kader Ghoname
author_sort Hatem Hamed El-shorbagy
collection DOAJ
description Sydenham chorea (SC) is the most common acquired cause of chorea in children.(SC) is the neurological manifestation of rheumatic fever. Rheumatic fever is still reported in Saudi Arabia, although less frequently. According to modified Jones criteria, carditis and arthritis are the major manifestations of acute rheumatic fever (ARF) in children.SC is often seen in isolated form; however, it can occur in association with other clinical manifestations of ARF like carditis. It has been reported that silent, mild valvular regurgitation has been found in patients with pure chorea.SC is characterized by abnormal body movement, associated with behavioral changes. It is an autoimmune disease that occurs following an infection with Group A beta-haemolytic streptococcal infection that is prevalent in Saudi Arabia.Despite recent advances in child health care services, RF continues to occur in Saudi Arabia. We describe a 12-year-old Saudi girl with SC and clinically inaudible, but echocardiographically significant mild valvular regurgitation.The diagnosis of Sydenham chorea should be considered in young children with choreiform movements. Doppler echocardiography may be useful in detecting silent valvular regurgitation and in deciding the duration of penicillin prophylaxis.
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spelling doaj.art-1c8e437f976a411b8b1487c667f5968a2022-12-22T00:20:08ZengElseviereNeurologicalSci2405-65022020-09-0120100246Sydenham chorea in a12- year old Saudi girlHatem Hamed El-shorbagy0Fahad Khamis Al Omari1Hassan Mohsen Al Ghashmari2Salem Mohsen Al Zahrani3Mohamed Abdel Kader Ghoname4Pediatric/ Pediatric Neurology Department, Menofia University, Egypt; Pediatric/ Pediatric Neurology Department, Prince Sultan Military Hospital, Taif, Saudi Arabia; Corresponding author at: Department of Pediatric, Menoufia University, Shebeen Elkom, Egypt.Family Medicine Department, Prince Sultan Military Hospital, Taif, Saudi ArabiaFamily Medicine Department, Prince Sultan Military Hospital, Taif, Saudi ArabiaPediatric Cardiology Department, Taif University, Taif, Saudi ArabiaRadiology Department, Al- Azhar University, Egypt; Radiology Department, Prince Sultan Military Hospital, Taif, Saudi ArabiaSydenham chorea (SC) is the most common acquired cause of chorea in children.(SC) is the neurological manifestation of rheumatic fever. Rheumatic fever is still reported in Saudi Arabia, although less frequently. According to modified Jones criteria, carditis and arthritis are the major manifestations of acute rheumatic fever (ARF) in children.SC is often seen in isolated form; however, it can occur in association with other clinical manifestations of ARF like carditis. It has been reported that silent, mild valvular regurgitation has been found in patients with pure chorea.SC is characterized by abnormal body movement, associated with behavioral changes. It is an autoimmune disease that occurs following an infection with Group A beta-haemolytic streptococcal infection that is prevalent in Saudi Arabia.Despite recent advances in child health care services, RF continues to occur in Saudi Arabia. We describe a 12-year-old Saudi girl with SC and clinically inaudible, but echocardiographically significant mild valvular regurgitation.The diagnosis of Sydenham chorea should be considered in young children with choreiform movements. Doppler echocardiography may be useful in detecting silent valvular regurgitation and in deciding the duration of penicillin prophylaxis.http://www.sciencedirect.com/science/article/pii/S2405650220300253Sydenham choreaRheumatic feverStreptococcal pharyngitisDoppler echocardiography
spellingShingle Hatem Hamed El-shorbagy
Fahad Khamis Al Omari
Hassan Mohsen Al Ghashmari
Salem Mohsen Al Zahrani
Mohamed Abdel Kader Ghoname
Sydenham chorea in a12- year old Saudi girl
eNeurologicalSci
Sydenham chorea
Rheumatic fever
Streptococcal pharyngitis
Doppler echocardiography
title Sydenham chorea in a12- year old Saudi girl
title_full Sydenham chorea in a12- year old Saudi girl
title_fullStr Sydenham chorea in a12- year old Saudi girl
title_full_unstemmed Sydenham chorea in a12- year old Saudi girl
title_short Sydenham chorea in a12- year old Saudi girl
title_sort sydenham chorea in a12 year old saudi girl
topic Sydenham chorea
Rheumatic fever
Streptococcal pharyngitis
Doppler echocardiography
url http://www.sciencedirect.com/science/article/pii/S2405650220300253
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AT hassanmohsenalghashmari sydenhamchoreaina12yearoldsaudigirl
AT salemmohsenalzahrani sydenhamchoreaina12yearoldsaudigirl
AT mohamedabdelkaderghoname sydenhamchoreaina12yearoldsaudigirl