Acute rheumatic fever - chest radiographic findings

Case contributed by Dr David Preston


This 16 year old indigenous youth was admitted to a rural hospital with high fevers and shortness of breath. Originally treated as having pneumonia.

Patient Data

Age: 16
Gender: Male

Plain chest film shows bilateral increased interstitial markings.

The patient was intubated and ventilated. A diagnosis of rheumatic heart disease was made. Treatment included high dose aspirin.

Cardiomegaly is now clearly seen. 

The patient went to theater and had a mitral and aortic valve replacement.

Recovery was swift and transfer to the ward then back to the country soon followed.

PlayAdd to Share

Case information

rID: 23053
Published: 18th May 2013
Last edited: 14th Aug 2019
System: Cardiac
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.