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Sydenham Chorea in a Girl with Dextrocardia and Situs Inversus

AUTHORS

alireza vakilian 1 , Reza Derakhshan Ravari 2 , * , Amir Moghadam-Ahmadi 3

AUTHORS INFORMATION

1 Department of Neurology, Faculty of Medicine, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

2 Department of Pediatric Cardiology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

3 Department of Neurology, Faculty of Medicine, Clinical Research Development Center of Ali-Ibn-Abitaleb Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

How to Cite: vakilian A, Derakhshan Ravari R , Moghadam-Ahmadi A. Sydenham Chorea in a Girl with Dextrocardia and Situs Inversus, Int Cardio Res J. 2017 ; 11(2):e11188.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 11 (2); e11188
Published Online: June 30, 2017
Article Type: Case Report
Received: May 31, 2017
Accepted: November 09, 2016

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Abstract

Sydenham Chorea (SC) is a childhood disease that most frequently occurs after infection with group A β-hemolytic streptococcus species. SC is the most commonly acquired childhood chorea, usually affecting 5 to 15-year-old children. Dextrocardia situs inversus refers to the heart being situated on the right side of the body. We found a case of SC with coexisting dextrocardia and situs inversus, which is rare to our knowledge. A 14-year-old girl was referred to Ali-Ibn-Abiltaleb Hospital due to choreoathetotic movements more in her upper than lower extremities, which impaired her usual function. Antistreptolysin O (ASO) titer was high. Her throat culture was positive for streptococci beta hemolytic. In cardiac study, moderate mitral regurgitation, tricuspid regurgitation, diastolic dysfunction, conus in the Right Ventricle Outlet (RVOT), right-sided aortic arch, dextrocardia, and situs inversus were reported. This was a rare case with SC that had such anomalies.

Keywords

Chorea,Dextrocardia,Mitral Valve,Situs Inversus

© 0, Shiraz University of Medical Sciences.

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References

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