Key result
Rheumatic fever in children under 3 comprises ~0.5% of initial attacks and predominantly presents as carditis.
Why the study?
Rheumatic fever occurring under 3 years of age is rare and its clinical features and differentiation from other diseases require clarification.
Design
Case series
Authors
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Clinicians should consider rheumatic fever in toddlers with severe carditis; this case extends sparse literature but leaves open need for larger studies.
Case Report (n=10)
No
Rheumatic fever can occur in children under 3 years of age, typically presenting with severe cardiac involvement including carditis and congestive heart failure, and requires evidence of preceding streptococcal infection for diagnosis.
Rosenthal et al. (1968) conducted a case report in Rheumatic fever (n=10). Rheumatic fever was evaluated on Clinical manifestations. Rheumatic fever in children under 3 years of age is rare (0.5% of initial attacks) and predominantly manifests as carditis, congestive heart failure, and significant mitral regurgitation.
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