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January 1, 1945HeartOpen Access

Advanced Mitral Stenosis at Three Years Old

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Key result

Chronic healed rheumatic endocarditis with advanced mitral stenosis was exceptionally observed in a three-year-old male infant presenting without acute or active carditis.

Population

1 male infant with advanced mitral stenosis and chronic rheumatic endocarditis, presenting without…

Design

Case_report

Authors

RJRichard S. JohnsonThe University of MelbourneDLD. LewesRoyal College of Surgeons of England

Discussion

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Implication

Alerts clinicians to rare early rheumatic mitral stenosis without active carditis; leaves open questions on pediatric disease progression.

Key Points

  • To document an exceptionally rare case of chronic, healed rheumatic endocarditis presenting as established mitral stenosis in early childhood without evidence of active carditis.
  • Clinical evaluation and case review of a three-year-old male infant presenting with chronic valve disease (N=1).
  • Assessment of clinical presentation to determine the presence or absence of acute, active rheumatic carditis.
  • Demonstration of advanced, established mitral stenosis originating from chronic rheumatic endocarditis in a three-year-old child.
  • Complete absence of concurrent signs or manifestations of acute or active carditis despite severe valvular narrowing.

Structured PICO

P
Population
1 male infant (3 years old) with advanced mitral stenosis and chronic (healed) rheumatic endocarditis, presenting without manifestations of acute or active carditis

Highlights an exceptional presentation of advanced mitral stenosis due to healed rheumatic endocarditis in a 3-year-old infant.

Cite This Study

Johnson et al. (1945) studied this question. Chronic healed rheumatic endocarditis with advanced mitral stenosis was exceptionally observed in a three-year-old male infant presenting without acute or active carditis.

synapsesocial.com/papers/6a9ea93eaca7c8f515b284aehttps://doi.org/10.1136/hrt.7.1.52
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1INTRA-UTERINE RHEUMATIC HEART DISEASE1933 · 17 citations
  2. 2RHEUMATIC INFECTIONS OCCURRING IN THE FIRST THREE YEARS OF LIFE1935 · 22 citations
  3. 3Common Disorders and Diseases of Childhood.1909 · 151 citations