Rheumatic fever presenting as monoarticular arthritis.

  title={Rheumatic fever presenting as monoarticular arthritis.},
  author={Gregory A Harlan and Lloyd Y. Tani and Carrie L. Byington},
  journal={The Pediatric infectious disease journal},
  volume={25 8},
BACKGROUND Monoarticular arthritis in children is most often suppurative septic arthritis (SA) of bacterial origin. We recently cared for 3 patients with monoarticular arthritis who developed carditis while receiving antibiotics for SA. Distinguishing SA from rheumatic fever (RF) is critical to avoid lifelong cardiac complications associated with RF. METHODS We compared the 3 cases of RF presenting with monoarticular arthritis with 12 cases of culture-confirmed SA to assess the clinical and… CONTINUE READING


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