Usman M Waziri1 Author

Case Report Open Access

Acute Rheumatic Fever Presenting With Severe Epistaxis in A Child in Sokoto, Nigeria

Author(s):

Khadijat O Isezuo1 *, Usman M Sani1 , Usman M Waziri1 , Bilkisu I Garba1 , Yahaya Mohammed2 , Lukman K Coker1 and Monsurat A Falaye1

Background: Rheumatic Heart Disease (RHD) is a preventable cause of cardiovascular death and disability. It is preceded by Acute Rheumatic Fever (ARF), which has some diagnostic criteria. Some cases present with atypical features including epistaxis, which occurs in about 4% of ARF. Objective: To report a case of a child who had febrile illness with epistaxis, then 2 months after developed rheumatic valvular heart disease. Case Report: A 10-year old girl with one-week history of high-grade fever, A day history of bleeding through the nostrils. She did not have sore throat, joint pains nor past history of epistaxis. She was febrile (38.70 C), moderately pale and anicteric. She was transfused within 24 hours, treated for sepsis and malaria. She had features of cardiac decompensation on 4t... view more»

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