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Malnutrition and severe rheumatic heart disease underscoring failure to thrive in an eleven-year-old boy

Published online by Cambridge University Press:  19 August 2008

Lurildo Ribeiro Saraiva ,
Tacito Barbalho  and
Djair Brindeiro Filho
Lurildo Ribeiro Saraiva*
Affiliation:
From the Serviço de Pediatria Clinica do Hospital Barão de Lucena (LRS), Fundação HEMOPE (TB) and Departamento de Medicina Clinica da Universidade Federal de Pernambuco(LRS, DBF), Recife
Tacito Barbalho
Affiliation:
From the Serviço de Pediatria Clinica do Hospital Barão de Lucena (LRS), Fundação HEMOPE (TB) and Departamento de Medicina Clinica da Universidade Federal de Pernambuco(LRS, DBF), Recife
Djair Brindeiro Filho
Affiliation:
From the Serviço de Pediatria Clinica do Hospital Barão de Lucena (LRS), Fundação HEMOPE (TB) and Departamento de Medicina Clinica da Universidade Federal de Pernambuco(LRS, DBF), Recife
*
Dr. Lurildo Ribejro Saraiva, Rua Pedro Correia, 110, CEP 52071-Apipucos, Recife, Pernanibuco, Brazil. Tel.81-268-0694.
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Summary

We describe an eleven-year-old boy with severe retardation in physical growth and severe rheumatic valvar disease. At surgery, a sample of the atrial appendage showed Aschoff nodules, although no antecedent of rheumatic fever was recorded. The patient was HLA-DR5 positive. The case emphasizes the strong association of malnutrition with severe rheumatic heart disease in northeast Brazil.

Keywords

Maluntritionrheumatic feverrheumatic heart diseasehuman leucocyric antigens
Type
Brief Reports
Information
Cardiology in the Young , Volume 3 , Issue 1 , January 1993 , pp. 79 - 81
Copyright
Copyright © Cambridge University Press 1993

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References

Shrivastava, S, Dev, V, Das, G, Rajani, M, Mukhopadhyaya, S.Percutaneous balloon mitral valvuloplasty in rheumatic mitral stenosis: an experience of 50 patients in India. Clin Cardiol 1991; 14: 237–241.CrossRefGoogle ScholarPubMed
Ayoub, EM, Barrett, DJ, Maclaren, NK, Krischer, JP.Association of class II human histocompatibility leucocyte antigens with rheumatic fever. J Clin Invest 1986; 77: 2019–2026.Google Scholar
Guilherme, L, Weidebach, W, Kiss, MH, Snitcowsky, R, Kalil, J. Association of human leukocyte class II antigens with rheumatic fever or rheumatic heart disease in a Brazilian population. Circulation 1991; 83: 1995–1998.CrossRefGoogle ScholarPubMed
Organización Mundial de Ia Salud. Medición del cambio delestado nutricional. Directrices para evaluar el efecto nutricional de programas de alimentación suplementaria destinados a grupos vulnerables. Geneva, 1983, p. 105.Google Scholar
Amos, DB. Cytotoxity testing. In: Ray, JC Jr (ed). Manual of Tissue Typing Techniques. National Institute of Health Publication. US Department of Health, Education and Welfare, 1979, pp 42–46.Google Scholar
Wallace, MR, Garst, PD, Papadimos, TJ, Oldfield, EC.The return of acute rheumatic fever in young adults. J Am Med Assoc 1989; 226: 2557–2561.Google Scholar
Zangwill, KM, Wald, ER, Londino, AV.Acute rheumatic fever in western Pennsylvania: a persistent problem into 1990s. J Pediatr 1991; 118: 561–563.Google Scholar
Bisno, A.Group A streptococcal infections and acute rheumatic fever. N Engl J Med 1991; 325: 783–793.CrossRefGoogle ScholarPubMed
Jhinghan, B, Mehra, NK, Reddy, KS, Taneja, V, Vaidya, MC, Bhatia, ML.HLA, blood groups and secretor status in patients with established rheumatic fever and rheumatic heart disease. Tissue Antigens 1986; 27: 172–178.CrossRefGoogle ScholarPubMed
Décourt, LV.Aspectos de Ia cardiopatia reumática apreciados arravés de biopsias de orejuelas. Pren méd argent 1966; 53: 320–327.Google Scholar