Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review

Sydenham's chorea (SC) is one of the manifestations of rheumatic fever, and is the most common cause of chorea in childrens. Sydenham chorea is characterized by involuntary movements such as jerking of the arms, legs, and face. The following case is a 10-year-old boy with complaints of moving...

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Main Authors: Laily Irfana, M. Perdana Airlangga, Nina Devi Indrawati, M. Hanun Mahyuddin
Format: Article
Language:English
Published: Universitas Nahdlatul Ulama Surabaya 2022-08-01
Series:Medical and Health Science Journal
Subjects:
Online Access:https://journal2.unusa.ac.id/index.php/MHSJ/article/view/3228
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author Laily Irfana
M. Perdana Airlangga
Nina Devi Indrawati
M. Hanun Mahyuddin
author_facet Laily Irfana
M. Perdana Airlangga
Nina Devi Indrawati
M. Hanun Mahyuddin
author_sort Laily Irfana
collection DOAJ
description Sydenham's chorea (SC) is one of the manifestations of rheumatic fever, and is the most common cause of chorea in childrens. Sydenham chorea is characterized by involuntary movements such as jerking of the arms, legs, and face. The following case is a 10-year-old boy with complaints of moving his right arm and leg on its own. On physical examination, there was a grade 4/5 systolic murmur at ICS 5 2 cm lateral to the left MCL blowing radiating to the left arm. ASTO examination there is an increase. CT scan of the head without contrast showed no abnormalities. The results of echocardiography showed severe mitral regurgitation. The patient was diagnosed with Sydenham Chorea and Rheumatic Heart Disease. The patient refused hospitalization and was treated as an outpatient with given therapy erythromycin 250 mg four times daily for 10 days followed by a twice daily dose for the next two months, symptomatic haloperidol 1 mg and trihexyphenidyl 0.5 mg twice a day, aspirin 300 mg four times a day for one month. From this treatment, the complaints improved slowly, and the chorea disappeared within 10 days of the start of treatment.
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spelling doaj.art-25029a7c54c74ebbb3b62cb27399aa2e2022-12-22T04:23:56ZengUniversitas Nahdlatul Ulama SurabayaMedical and Health Science Journal2549-75882549-75962022-08-0160210.33086/mhsj.v6i02.3228Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature ReviewLaily Irfana0M. Perdana AirlanggaNina Devi IndrawatiM. Hanun MahyuddinUniversitas Muhammadiyah Surabaya Sydenham's chorea (SC) is one of the manifestations of rheumatic fever, and is the most common cause of chorea in childrens. Sydenham chorea is characterized by involuntary movements such as jerking of the arms, legs, and face. The following case is a 10-year-old boy with complaints of moving his right arm and leg on its own. On physical examination, there was a grade 4/5 systolic murmur at ICS 5 2 cm lateral to the left MCL blowing radiating to the left arm. ASTO examination there is an increase. CT scan of the head without contrast showed no abnormalities. The results of echocardiography showed severe mitral regurgitation. The patient was diagnosed with Sydenham Chorea and Rheumatic Heart Disease. The patient refused hospitalization and was treated as an outpatient with given therapy erythromycin 250 mg four times daily for 10 days followed by a twice daily dose for the next two months, symptomatic haloperidol 1 mg and trihexyphenidyl 0.5 mg twice a day, aspirin 300 mg four times a day for one month. From this treatment, the complaints improved slowly, and the chorea disappeared within 10 days of the start of treatment. https://journal2.unusa.ac.id/index.php/MHSJ/article/view/3228Sydenham choreaRheumatic heart diseaseCarditis
spellingShingle Laily Irfana
M. Perdana Airlangga
Nina Devi Indrawati
M. Hanun Mahyuddin
Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review
Medical and Health Science Journal
Sydenham chorea
Rheumatic heart disease
Carditis
title Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review
title_full Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review
title_fullStr Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review
title_full_unstemmed Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review
title_short Sydenham Chorea On Indonesian 10 Years Old Boy Caused By Rheumatic Heart Disease : Case Report And Literature Review
title_sort sydenham chorea on indonesian 10 years old boy caused by rheumatic heart disease case report and literature review
topic Sydenham chorea
Rheumatic heart disease
Carditis
url https://journal2.unusa.ac.id/index.php/MHSJ/article/view/3228
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