FRAGA, D. R. M. P.; VIDAL, L. K. H.; FREITAS, R. S.; http://lattes.cnpq.br/5711616101914227; http://lattes.cnpq.br/8316262331659010; http://lattes.cnpq.br/3736375885752405; FRAGA, Débora Rosanne Mendes Pires.; VIDAL, Lorena Karen Holanda.; FREITAS, Raquel Santana de.
Résumé:
Rheumatic fever (RF) is an inflammatory disease that occurs after infection by
group A beta-hemolytic streptococcus in genetically
predisposed, mainly between 5 and 15 years, without gender predominance. O
The diagnosis is clinical, through the Jones Criteria (CJ). Statistics indicate that the
Brazil has a high incidence of the disease, which is responsible for 40% of
heart surgeries in the country. The objective of this work was to evaluate the profile of
clinical-laboratory presentation and outcomes in a series of hospitalized cases
with an initial diagnosis of RF. A case series study was carried out with a profile
observational, retrospective, and descriptive, carried out at the University Hospital Alcides
Carneiro, in Campina Grande-PB. In this study, 26 medical records were analyzed
of patients, with a mean age of 11.8 years and from 11 municipalities in the
Paraíba. The distribution by gender was: 61.5% female and 38.5% male. O
diagnosis was confirmed in 50% of patients. Of those who confirmed the
diagnosis through the CJ, associated or not with the echocardiogram, 40%
presented one major criterion and two or more minor criteria. There was
simultaneous occurrence of the following major criteria: arthritis and carditis in 40%; korea and
carditis in 10%; arthritis, chorea, and carditis in 10%. Chorea as an isolated symptom was
verified in 10% of these patients. The diagnostic difficulties described by
literature, due to the non-specificity of CJ, lack of pathognomonic sign or
specific laboratory test and great variability of clinical manifestations were
also observed in this study. Thus, it is suggested that professionals
health are more thoughtful and prudent when applying the FT.