Demonstration of choreic movements in a case of chorea gravidarum

In recent times, most cases of chorea appearing during pregnancy in developed countries were caused by disease entities like systemic lupus erythematosus, Huntington's disease but rheumatic fever remains the cause in most of the developing countries. Patients with Sydenham chorea are at risk for the development of rheumatic carditis particularly mitral stenosis and to prevent this, a regimen of daily penicillin prophylaxis should be instituted and maintained. 2 Chorea in this patient did not affect her pregnancy and its outcome rather was helpful to the patient as she was started on penicillin prophylaxis which would prevent her from developing rheumatic heart disease in future.