Akutes rheumatisches Fieber

Zusammenfassung

Wir berichten über eine junge Patientin mit rheumatischem Fieber. Weil das rheumatische Fieber in Deutschland insbesondere bei Erwachsenen zu einer seltenen Erkrankung geworden ist, besteht die Gefahr, es bei Patienten mit akuten rheumatischen Krankheitsbildern oder febrilen Zuständen nicht mehr in die differenzialdiagnostischen Erwägungen einzubeziehen. Wird die Erkrankung nicht erkannt und konsequent behandelt (Antibiotikaprophylaxe), besteht langfristig ein hohes Risiko für rheumatisch bedingte Vitien. Der Beitrag geht ausführlich auf Diagnose, Differenzialdiagnosen und Therapie des rheumatischen Fiebers ein.

Abstract

We report on a young women with acute rheumatic fever. Acute rheumatic fever has become a rare disease in Germany, especially in adults. This carries the risk that it can be missed in the differential diagnostic considerations of acute rheumatic disorders and febrile status. If rheumatic fever is not diagnosed and treated correctly, there is a considerable risk for rheumatic valvular heart disease. In this article diagnosis, differential diagnosis and therapy of rheumatic fever are discussed extensively.

Schlüsselwörter

rheumatisches Fieber - Arthritis - Tonsillopharyngitis - Streptokokken - Penicillin

Keywords

rheumatic fever - arthritis - tonsillopharyngitis - streptococcus - Penicillin

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