Regarding the cardiac involvement we observed subclinical carditis in 19% of the patients.
Maria Teresa Ramos Ascensão Terreri, Álvaro Manuel Caldas, Cláudio Arnaldo Len, FabioUltchak, Maria Odete Esteves Hilário 2006, 'Características clínicas e demográficas de 193 pacientes com febre reumática Clinicaland demographic features of 193 patients with rheumatic fever', Revista Brasileira de Reumatologiahttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042006000600005. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Four patients were reoperated upon, 3 of whom due to recurrent rheumatic carditis.
Fernando Antônio Fantini, Leonardo Ferber Drumond, Bayard Gontijo Filho, Mário OsvaldoVrandecic, João Alfredo de Paula e Silva, Juscelino Teixeira Barbosa, Luiz FernandoBracarense, Carlos Alberto Hemetério Oliveira, Cristiana Gutierrez, Adelso AparecidoPedroza, Maria da Glória Cruvinel Horta 1992, 'Valvoplastia mitral em pacientes jovens com cardiopatia reumática Mitral valvuloplastyin young patients with rheumatic heart disease', Brazilian Journal of Cardiovascular Surgeryhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76381992000200002. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Carditis and relapse probabilities were 17.5% and 13.2%, respectively, five years after the initial attack.
Simone Manso de Carvalho, Ivete Dalben, José Eduardo Corrente, Claudia Saad Magalhães 2012, 'Apresentação e desfecho da febre reumática em uma série de casos Rheumatic fever presentationand outcome: a case-series report', Revista Brasileira de Reumatologiahttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042012000200008. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Severity of carditis was grouped into 3 groups of mild, moderate and severe.
Ahmet Basturk, Kazim Oztarhan, Sultan Kavuncuoglu, Cemal Polat 2016, 'Clinical assessment and echocardiography follow-up results of the children with acuterheumatic fever', American Journal of Experimental and Clinical Researchhttp://journals.sfu.ca/ajecr/index.php/ajecr/article/view/67. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
The most frequent clinical manifestations were carditis (69.7%), arthritis (21.4%), and chorea (6.1%).
Fátima Borges, Maria Luiza A. Barbosa, Renata Beyruth Borges, Olívia C. Pinheiro,Carlos Cardoso, Claudilson Bastos, Roque Aras 2005, 'Características clínicas demográficas em 99 episódios de febre reumática no Acre,Amazônia Brasileira Clinical and demographic characteristics of 99 episodes of rheumaticfever in Acre, the Brazilian Amazon', Arquivos Brasileiros de Cardiologiahttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2005000200004. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Failures were mainly related to rheumatic carditis and infective endocarditis.
Solange Bordignon, Renato A. Karan Kalil, João Ricardo M Sant'Anna, Paulo RobertoPrates, Edemar Manuel Pereira, Ivo A Nesralla 1996, 'Resultado clínico tardio da anuloplastia mitral sem suporte em crianças e adolescentesLate outcome of unsupported annuloplasty as surgical treatment of mitral insufficiencyin children and adolescents', Brazilian Journal of Cardiovascular Surgeryhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76381996000400007. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
During the follow-up period, 6 patients (13.6%) showed mild carditis.
Satoshi Sato, Yoji Uejima, Eisuke Suganuma, Tadamasa Takano, Yutaka Kawano 2017, 'A retrospective study: Acute rheumatic fever and post-streptococcal reactive arthritisin Japan', Allergology Internationalhttp://www.sciencedirect.com/science/article/pii/S1323893017300424. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Fungal endo-carditis was not observed following any other type of open or closed heart surgery.
Kinare Suman, Chaukar A, Panday S, Parulkar G 1978, 'Fungal endocarditis after cardiac valve replacement', Journal of Postgraduate Medicinehttp://www.jpgmonline.com/article.asp?issn=0022-3859;year=1978;volume=24;issue=3;spage=164;epage=170;aulast=Kinare. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
The most frequent clinical manifestation was arthritis (70.5%) followed by carditis (50.8%) and chorea (35.2%).
Maria Teresa Ramos Ascensão Terreri, Álvaro Manuel Caldas, Cláudio Arnaldo Len, FabioUltchak, Maria Odete Esteves Hilário 2006, 'Características clínicas e demográficas de 193 pacientes com febre reumática Clinicaland demographic features of 193 patients with rheumatic fever', Revista Brasileira de Reumatologiahttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042006000600005. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
They presented active chronic carditis involving especially the myocardium and the intracardiac nervous system.
E. Chapadeiro, P.S.S. Beraldo, P.C. Jesus, W.P. Oliveira Jr., L.F. Junqueira Jr. 1988, 'Lesões cardíacas em ratos wistar inoculados com diferentes cepas do Trypanosoma cruzi',Revista da Sociedade Brasileira de Medicina Tropicalhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86821988000300002. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)