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    EJMED, European Journal of Medical and Health Sciences Vol. 2, No. 4, July 2020 Acute Rheumatic Carditis Manifesting As Complete Heart Block At Initial Presentation In A Young Male – A Rare Case Report P. Praneeth, N. Praveen, A. U. Kiran, N. Vijaya Lakshmi, K. K. Anjani two weeks. It was associated with chills and rigors. The Abstract — A 26-year male came to the emergency joint pains were migratory, involving the large joints (ankle, department with a history of syncope along with fever and knee, and then the wrist). There were no associated with joint pains of two weeks duration. The electrocardiogram skin lesions, seizures. Next week, he developed palpitations showed a complete heart block (CHB). On further workup, the CHB appeared secondary to Acute Rheumatic Carditis (ARC). and shortness of breath, followed by two episodes of The CHB recovered over a week with anti-inflammatory presyncope and syncope, for which he visited a local therapy. This case shows that ARC can manifest with a hospital. He was diagnosed having a complete heart block complete heart block and syncope, which is reversible. and referred for further management. Physical examination revealed the following; heart rate of Index Terms — acute rheumatic carditis; complete heart 45 per min (see Fig. 1), blood pressure was 100/70 mm Hg, block; corticosteroids; syncope. and fever 39 ºC. Intermittent cannon waves in Jugular venous pulse, mildly swollen right wrist, and ankle joints noticed. Cardiovascular system examination revealed a I. INTRODUCTION pansystolic murmur at apex. Acute Rheumatic Fever (ARF) manifests as a delayed On investigation, he had a raised total leucocyte count autoimmune response to group A beta-hemolytic (TLC) 18,000 cells/mm3 with differentials N 86, L 13, M01, Streptococcal pharyngitis.
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  • F.No.29101L2017-SR(S) Government of India Ministry of Personnel, PG and Pensions Departmental of Personnel of Training *****
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