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Exam questionKROK 2Medicine · 2015

A 12-year-old girl complains of general weakness, rise of body temperature up to 38,2°C, pain and swelling of knee joints, feeling of cardiac rhythm disruption. The child had tonsillitis 3 weeks ago. The knee joints are swollen, local raise of temperature is observed, mobility is reduced. Heart sounds are weakened, extrasystole is present; at the cardiac apex systolic noise can be auscultated, which is not conducted to the left axillary region. ESR is 38mm/h. CRP2+. antistreptolysin-O titers are 400. The most likely disease is:

Answer options

  1. Reactive arthritis
  2. Somatoform autonomic dysfunction
  3. Juvenile rheumatoid arthritis
  4. Acute rheumatic fever
  5. Non-rheumatic carditis
Correct answer

Acute rheumatic fever

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