Clinical spectrum of rheumatic fever and rheumatic heart disease: A 10 year experience in an urban area of south

Nitin Joseph; Deepak Madi; Ganesh S Kumar; Maria Nelliyanil; Vittal Saralaya; Sharada Rai

doi:10.4103/1947-2714.122307

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ORIGINAL ARTICLE

Year : 2013 | Volume : 5 | Issue : 11 | Page : 647-652

Clinical spectrum of rheumatic fever and rheumatic heart disease: A 10 year experience in an urban area of south

Nitin Joseph¹, Deepak Madi², Ganesh S Kumar³, Maria Nelliyanil⁴, Vittal Saralaya⁵, Sharada Rai⁶
¹ Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
² Department of Internal Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
³ Department of Community Medicine, JIPMER, Puducherry, India
⁴ Department of Community Medicine, A J Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India
⁵ Department of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
⁶ Department of Pathology, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India

Correspondence Address:
Nitin Joseph
Department of Community Medicine, Kasturba Medical College, Manipal University, Light House Hill Road, Mangalore, Karnataka
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/1947-2714.122307

Background: Rheumatic fever (RF) is an important problem concerning developing countries like India. Rheumatic heart disease (RHD) is one of the most readily preventable chronic diseases. Aim: This study was done to find out the clinical profile, risk factors, compliance with treatment and outcome among RF/RHD cases so as to suggest better case management strategies. Materials and Methods: Clinical records of 51 RF and 71 RHD cases admitted in tertiary care hospitals in Mangalore between 2001 and 2010 were reviewed retrospectively. Results: Mean age of RF cases were 17.4 ± 12.1 years and RHD cases were 33.2 ± 18.6 years. More than half of RF and RHD cases were males. Commonest risk factors among RF cases were poor socioeconomic status (60.4%), history of upper respiratory tract infection before disease onset (58.8%) and undernutrition (35.3%). Commonest clinical manifestation among RF cases was fever 39 (76.5%) followed by polyarthritis 34 (66.7%). Commonest valvular lesions among RHD cases was mitral stenosis with mitral regurgitation found in 42.9% cases. Compliance of patients with prophylactic antibiotics was found to be 37 (30.3%). Mortality rate was significantly more among RHD cases (P = 0.0399). Conclusions: Improvement of socioeconomic and nutritional factors is an important task required for primary prophylaxis and of compliance for secondary prophylaxis of RF.

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