Avatar universal

Rheumatic Fever in a child

My son is 13 years old.  He became sick in June with a sore throat and fever.  He then starting having symptons of chest pains, muscle aches/cramps, joint pain that moved from jt. to jt., with no redness or swelling that we noticed.  He had shortness of breath and wheezing, that was treated as exercise induced ashtma ( He runs cross country).  We never noticed a rash.  He had extreme fatigue and would fall asleep at school.  We went to the ER one night and they put him on an antibiotic for bronchiolitis.  Throughout all this we regularly visited our family physician and he ran several blood tests and had echo's done.  His echo came back that he had some I believe mitral valve leakage, but everything else was okay.  His ASO titre came back at 640 and his ANA was positive. Our family physician treated him for rheumatic fever with a penicillin injection, until we saw the cardio. Based on the fact that he did not have joint swelling, a rash and no carditis he was not diagnosed with rheumatic fever. We also saw a rheumotologist.  My question is could the Antibiotics from the ER have masked any symptons of rheumatic fever?  We are not treating him for anything.  His ASO  titres continue to remain high arond 550.  I am concerned he will turn up with heart trouble down the road. I am concerned that he may have had mild rheumatic fever.  Thank you for any advice you can give us.  He continues to have some fatigue, mucsle cramping at times and occasional jt. pain.  He will occasionally complain that his chest and around his back hurts.
2 Responses
Sort by: Helpful Oldest Newest
239757 tn?1213809582

thanks for the post. I'm sorry to hear of your son's recent illness. As a parent, I realize how taxing these things can be.

I'm not a pediatrician so I do not feel overly comfortable giving you too much guidance.

Rheumatic fever is actually an inflammatory condition that is brought on as the body's reaction to streptococcal infection. Actually, early treatment of strep tends to decrease the incidence that it deveops. Early treatment of his symptoms in the ED would have mostly likely have been beneficial.

We dont tend to see rheumatic fever very often. Ive seen less than 10 cases in the last 10 years and all of my time is spent in tertiary care centers.

There are many conditions which could possibly cause your sons symptoms. I would recommend seeing a pediatrician or a pediatric rheumatologist in a tertiary referral center for further evaluation or second opinion.

good luck
Helpful - 0
Avatar universal
I forgot to ask also what would make his ASO titres to stay high? Thanks.
Helpful - 0

You are reading content posted in the Heart Disease Forum

Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.