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Malnutrition and severe rheumatic heart disease underscoring failure to thrive in an eleven-year-old boy

Published online by Cambridge University Press:  19 August 2008

Lurildo Ribeiro Saraiva ,
Tacito Barbalho  and
Djair Brindeiro Filho
Lurildo Ribeiro Saraiva*
Affiliation:
From the Serviço de Pediatria Clinica do Hospital Barão de Lucena (LRS), Fundação HEMOPE (TB) and Departamento de Medicina Clinica da Universidade Federal de Pernambuco(LRS, DBF), Recife
Tacito Barbalho
Affiliation:
From the Serviço de Pediatria Clinica do Hospital Barão de Lucena (LRS), Fundação HEMOPE (TB) and Departamento de Medicina Clinica da Universidade Federal de Pernambuco(LRS, DBF), Recife
Djair Brindeiro Filho
Affiliation:
From the Serviço de Pediatria Clinica do Hospital Barão de Lucena (LRS), Fundação HEMOPE (TB) and Departamento de Medicina Clinica da Universidade Federal de Pernambuco(LRS, DBF), Recife
*
Dr. Lurildo Ribejro Saraiva, Rua Pedro Correia, 110, CEP 52071-Apipucos, Recife, Pernanibuco, Brazil. Tel.81-268-0694.
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Summary

We describe an eleven-year-old boy with severe retardation in physical growth and severe rheumatic valvar disease. At surgery, a sample of the atrial appendage showed Aschoff nodules, although no antecedent of rheumatic fever was recorded. The patient was HLA-DR5 positive. The case emphasizes the strong association of malnutrition with severe rheumatic heart disease in northeast Brazil.

Keywords

Maluntritionrheumatic feverrheumatic heart diseasehuman leucocyric antigens
Type
Brief Reports
Information
Cardiology in the Young , Volume 3 , Issue 1 , January 1993 , pp. 79 - 81
Copyright
Copyright © Cambridge University Press 1993

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