Subcutaneous nodules: a rare and only presentation of acute rheumatic fever

Authors

  • Suguna S. Department of Pediatrics, Chamarajanagara Institute of Medical Sciences, Karnataka, India
  • Lakshmi L. Department of Pediatrics, Chamarajanagara Institute of Medical Sciences, Karnataka, India
  • Sushrutha K. P. Department of Pediatrics, Chamarajanagara Institute of Medical Sciences, Karnataka, India
  • Vasanthkumar N. Department of Pediatrics, Chamarajanagara Institute of Medical Sciences, Karnataka, India
  • Meghashree Department of Pediatrics, Chamarajanagara Institute of Medical Sciences, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20250786

Keywords:

Acute rheumatic fever, Carditis, Subcutaneous nodules, Revised jones criteria

Abstract

Acute rheumatic fever (ARF) is a most common sequelae of group a beta hemolytic streptococcus (GABHS). 11yr old adolescent male presented with subcutaneous nodules, which is being rarest manifestation, diagnosed to have ARF- mitral regurgitation with active carditis based on revised Jones criteria. Treated with Injection benzathine penicillin, aspirin and steroids according to IAP protocol. Patient become asymptomatic with resolution of subcutaneous nodules. Here we describe the successful diagnosis and management of a patient with ARF

Metrics

Metrics Loading ...

References

Tan CS, Hung LC (2017) Subcutaneous Nodules and Delayed Diagnosis in Acute Rheumatic Fever: A Case Report. Clin J Heart Dis. 2017;1(1):1006.

kliegman RM, St Geme JW, Blum NJ, Tasker RC, Wilson KM, et al. Nelson textbook of Pediatrics In: eds 21st ed. Philadelphia: Elseviier; 2020: 1274-9.

Tibazarwa KB, Volmink JA, Mayosi BM. Incidence of acute rheumatic fever in the world: a systematic review of population-based studies. Heart. 2008;94:1534-40. DOI: https://doi.org/10.1136/hrt.2007.141309

English PC. Rheumatic fever in America and Britain. A biological, epidemiological and medical history. New jersey: Rutgers university press. 1999: 17-5.

Sanyal SK, Berry AM, Duggal S, Hooja V, Ghosh S. Sequelae of the initial attack of acute rheumatic fever in children from north india. A prospective 5-year follow-up study. Circulation. 1982;65:375-9. DOI: https://doi.org/10.1161/01.CIR.65.2.375

Kumar JD, James SS, Venkataraman P, SubbaRao P, Latha MS. Subcutaneous nodules in acute rheumatic fever- A case report. SRJM. 2011;4:40-1.

Sejeeni NF, Alfahmi SS, Alzhrani RM, Almatrafi MK, Hussain AA. A case report: acute rheumatic fever or something more. Cureus. 2023;15(3):36967.

Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J, et al. Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation. 2015;131(20):1806-18. DOI: https://doi.org/10.1161/CIR.0000000000000205

Sanyal SK, Thapar MK, AHMED SH, Hooja V, Tewari P. The initial attack of acute rheumatic fever during childhood in North India: a prospective study of the clinical profile. Circulation. 1974;49(1):7-12. DOI: https://doi.org/10.1161/01.CIR.49.1.7

Poonia A, Giridhara P, Sheoran D. Subcutaneous nodules in acute rheumatic fever. J Pediatr. 2019;213:242. DOI: https://doi.org/10.1016/j.jpeds.2019.04.049

Sejeeni NF, Alfahmi SS, Alzhrani RM, Almatrafi MK, Hussain AA, et al. A Case Report: Acute Rheumatic Fever or Something More. Cureus. 2023;15(3):56. DOI: https://doi.org/10.7759/cureus.36967

Downloads

Published

2025-03-25

How to Cite

S., S., L., L., P., S. K., N., V., & Meghashree. (2025). Subcutaneous nodules: a rare and only presentation of acute rheumatic fever. International Journal of Contemporary Pediatrics, 12(4), 700–702. https://doi.org/10.18203/2349-3291.ijcp20250786

Issue

Section

Case Reports