Concurrent Acute Rheumatic Fever and Acute Poststreptococcal Glomerulonephritis: Case report

In spite of dramatic falls in the incidence, ARF persists a major cause of mortality and morbidity associated with acquired heart disease in underdeveloped countries (1). On laboratory evaluation; blood urea nitrogen 29 mg / dL, creatinine 0.56 mg / dL, total protein 6 g / dL, albumin 3.5 g / dL, hemoglobin 10.7 g / dL, WBC 12500 / mm3, thrombocyte 241000/mm3, CRP (C reactive protein) 2 mg / dl, ESR (erythrocyte sedimentation rate) 57 mm / h, serum anti-streptolysin O titer was 770 IU/mL. With clinical and laboratory evaluations he was diagnosed as APSGN and as he had cardiac murmur and migratory arthritis he was referred to echocardiographic evaluation with the suspicion of ARF. 2-D and Doppler echocardiography revealed severe mitral regurgitation and minimal aortic insufficiency. [...]in patients who have fever, joint pain, headache, nasal bleeding, edema, hematuria complaint must be careful in terms of both APSGN and ARF.