Acute rheumatic fever is still active in Martinique. Epidemiological and clinical study of 34 cases observed during the 1987-1991 period

The authors report 34 cases of acute rheumatic fever observed in children in the North-Atlantic region of the Martinique island during a 5 years period (1987-1991). The majority of the patients belong to areas with poor socio-economic conditions. Clinical manifestations are mainly polyarthritis, mon...

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Bibliographic Details
Published inPédiatrie (Paris ) Vol. 48; no. 11; p. 823
Main Authors Kayemba Kay's Kabangu, S, Dupuis, E
Format Journal Article
LanguageFrench
Published France 1993
Subjects
Adolescent
Causality
Child
Child, Preschool
Communicable Disease Control
Female
Hospitalization
Humans
Incidence
Male
Martinique - epidemiology
Retrospective Studies
Rheumatic Fever - complications
Rheumatic Fever - epidemiology
Rheumatic Fever - prevention & control
Martinique
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Summary:The authors report 34 cases of acute rheumatic fever observed in children in the North-Atlantic region of the Martinique island during a 5 years period (1987-1991). The majority of the patients belong to areas with poor socio-economic conditions. Clinical manifestations are mainly polyarthritis, monoarthritis, and abdominal pain, associated with accelerated erythrocyte sedimentation rate and high antistreptolysin O titer. Carditis remains the most important complication, 14 out of 34 children being concerned. The prognosis is favorable in most cases, but four children have mitral valve insufficiency and two other have moderate aortic valve insufficiency as sequelae. Although there is a decline in the incidence of the disease in comparison to previous years, the same endemic area is found in this study. Explanations of this phenomenon and recommendations for a new eradication campaign are discussed.
ISSN:0031-4021