Incidence of Childhood Acute Rheumatic Fever in Malatya Region
Habib Almış1, Cemşit Karakurt2, Serkan Fazlı Ãelik2, Ãzlem Elkıran1, GÃ¼lendam KoÃ§ak3.
Aim: Acute rheumatic fever is a multisystemic disease related to an immun reaction against group A beta hemolytic streptococcus infection, may recur and the social and economic status of the host affects its morbidity and mortality.Acute rheumatic fever is the most common cause of acquired heart disease in children and young adults in the developing countries.There are only a few limited studies in Turkey for incidence of rheumatic fever.
Material and Methods: In this study, we evaluated the patients with acute rheumatic carditis, who were admitted to Pediatric Cardiology Unit of Inonu University, Faculty of Medicine from January 2007 to December 2011 and determined the incidence of acute rheumatic fever in Malatya region.
Results: 132 patients with acute rheumatic fever were identified and carditis was the most common major manifestation (83.3%) followed by arthritis (47 %) and chorea (13.6 %) and erythema marginatum (0.8 %). The incidence of rheumatic carditis is between 42.3 and 104.8 per 100000 in Malatya. As minor criteria increased sedimentation rate and C-reactive protein positivity in 110 cases (83.3%), fever in 82 cases (62.1%), there was arthralgia in 48 cases (36.3 %). Increased PR interval in 14 cases (10.6%).
Conclusions: As acute rheumatic fever is still very common in our country and the most commonly affected group are children. We believe that the true incidence of rheumatic fever in underdeveloped part of our country is higher than the other regions.
Key Words: Rheumatic Fever; Carditis; Malatya.