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Clinical Pediatrics
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*Joint Disorders
*Pneumonia
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Pneumonia Associated with Acute Rheumatic Fever

Loren G. Yamamoto, MD, MPH

Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapiolani Women's and Children's Medical Center, Honolulu, Hawaii

Dexter S. Y. Seto, MD

Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapiolani Women's and Children's Medical Center, Honolulu, Hawaii

D. Venu Reddy, MD, MPH

Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapiolani Women's and Children's Medical Center, Honolulu, Hawaii

Pulmonary involvement in acute rheumatic fever is rare. Clinical and laboratory findings in rheumatic pneumonia are non-specific. Most of the cases of rheumatic pneumonia described in recent years have had a fulminant course often resulting in death. Autopsy findings are suggestive of but not specific for rheumatic pneumonia. In this article a case of pneumonia associated with acute rheumatic fever is described. Pneumonia and carditis occurred simultaneously in a 10-year-old boy treated without steroids, which resulted in recovery. The clinical spectrum of rheumatic pneumonia can range from mild to fulminant.

Clinical Pediatrics, Vol. 26, No. 4, 198-200 (1987)
DOI: 10.1177/000992288702600412
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