Sydenham’s Chorea with Silent Cardiac Lesions, Mimicking Encephalitis in a 13 Year Old Girl

Authors

  • K. N. Shakya Department of Pediatrics, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • A. Bhatta Department of Pediatrics, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • A. Yadav Department of Pediatrics, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • U. Gautam Department of Pediatrics, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • S. Basnet Department of Pediatrics, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/kumj.v19i2.49697

Keywords:

Chorea, Encephalitis, Rheumatic fever, Silent carditis

Abstract

Sydenham’s chorea is an uncommon neurological manifestation of rheumatic fever and has many and varied differential diagnosis. It may mimic encephalitis when presents as an isolated feature even when silent cardiac lesions are present. Early diagnosis, treatment and penicillin prophylaxis prevents recurrence and progression of cardiac lesions. Prompt symptomatic relief and alleviation of distress is obtained with therapeutic intervention. A case of rheumatic chorea with silent cardiac valve lesions which mimicked herpes simplex encephalitis with choreoathetosis, in a 13 year old girl is presented along with review of literature.

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Published

2021-06-30

How to Cite

Shakya, K. N., Bhatta, A., Yadav, A., Gautam, U., & Basnet, S. (2021). Sydenham’s Chorea with Silent Cardiac Lesions, Mimicking Encephalitis in a 13 Year Old Girl. Kathmandu University Medical Journal, 19(2), 282–284. https://doi.org/10.3126/kumj.v19i2.49697

Issue

Vol. 19 No. 2 (2021)

Section

Case Notes