Second Author pada Abstrak “Rheumatic Heart Disease and Acute Glomerulonephritis Post Streptococcal Coexistence : Four Case Reports”
Ditampilkan sebagai Poster Case Presentation pada 24th ASEAN Federation Cardiology Congress (AFCC) in conjunction with 28th Annual Scientific Meeting of Indoesian Heart Association (ASMIHA)
Rheumatic Heart Disease and Acute Glomerulonephritis Post Streptococcal Coexistence: Four Case Reports
P. R. Indrisia1, A. I. Nurudinulloh1, D. A. Putra1, S. E. Nauli2, H. Priatna2, P. Rahasto2
1General Practitioner, Tangerang General Hospital
2Department of Cardiology and Vascular Medicine, Tangerang General Hospital
Introduction
Rheumatic heart disease ( RHD) and acute glomerulonephritis post streptococcal (AGNPS) are associated with group A Streptococcal Infection. They had difference strain but rarely found coexistence. It is not sure from difference strain or same strain.
Case Illustrations
Case 1
A 20 moths old boy was admitted to E.D with chief complaint dyspneu and oedema 2 days prior to admission. It was followed by swollen in the eyes, face, feets, and “dark tea” –like urine. Physical examination found hypertention (83/55 mmHg), rales, gallop, hepatomegaly, and pitting oedema. Laboratory findings showed anemia, hematuria, ASTO +200. Echocardiography showed EF 28%, MR Moderate, TR Mild.
Case 2
A 13 y.o girl was admitted to E.D with chief complaint swollen in the face and legs. It was followed by PND and DOE. Physical examination showed hypertention (130/95 mmHg), rales, and pansystolic murmur, ascites, and oedema. Laboratory findings showed hematuria, ASTO +200. Echocardiography showed EF 35%, LV Global Hypokinetic, Minimal pericardial effusion, TR Moderate, and apical thrombus.
Case 3
A 13 y.o boy was admitted to E.D with chief complaint swollen eyes and face. It was followed by PND and DOE. Physical examination found hypertention (180/120 mmHg), rales, gallop, and pitting oedema. Laboratory findings showed hematuria, ASTO +200. Echocardiopraphy showed EF 66%, minimal pericardial effusion, and normal leaflet.
Case 4
A 8 y.o girl was admitted to E.D with chief complaint swollen face. It was followed by “dark tea” –like urine, PND and DOE were denied. Physical examination found hypertension (120/80 mmHg), normal heart sound, ascites, and pitting oedema. Laboratory showed hematuria, ASTO +200. Echocardiography showed EF 25%, global hypokinetic, MR Mild, TR MIlad, and minimal pericardial effusion.
Discussion
RHD coexistence with acute AGNPS is a rare condition. Further investigation is needed to analyse if the coexistence from different strain or same strain.
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