Coxsackie or Rheumatic Fever

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Coxsackie or Rheumatic Fever

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8 Posts

jsarge83
Forum Newbie

Topics: 1
Posts: 1

06/09/08 - 03:22 PM

A 56 year old woman has shortened thickened chordae tendinae and a stenotic mitral valve on autopsy. what is the most likely cause?

a. group a strep.
b. coxsackie b
c. strep viridians
d. treponema pallidium
e. s aureus

i cant decide b/w a or b. a little help please.

sahran
Forum Junior

Topics: 12
Posts: 44

06/10/08 - 03:39 AM

it is due to rhumatic fever which is the most common cause of valve disease especally mitral valve.
coxacke affect young adults without any predisposing factor

hitesh
.

Topics: 64
Posts: 1,084

06/10/08 - 04:34 AM

It should be rheumatic.. But not 'rheumatic fever'. It's 'Rheumatic heart disease' . theres a lot of difference between 'carditis of ARF' and 'RHD', esp from the t/t point of view. The answer would be a. group a strep. in any case.
Besides, doesnt coxsachie B virus cause myocarditis and pericarditis. Does it even cause endocarditis/valvular defects?

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supra
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Topics: 19
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06/10/08 - 07:53 AM

hitesh

Tiff
Forum Guru

Topics: 55
Posts: 581

06/10/08 - 10:59 AM

A - Group A Strep

basophilia
Forum Senior
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06/10/08 - 01:26 PM

A , good question nod

Tiff
Forum Guru

Topics: 55
Posts: 581

06/13/08 - 07:33 PM

hitesh wrote:
It should be rheumatic.. But not 'rheumatic fever'. It's 'Rheumatic heart disease' . theres a lot of difference between 'carditis of ARF' and 'RHD', esp from the t/t point of view. The answer would be a. group a strep. in any case.
Besides, doesnt coxsachie B virus cause myocarditis and pericarditis. Does it even cause endocarditis/valvular defects?

Coxsackie causes myocarditis & tuberculosis causes pericarditis.

hitesh
.

Topics: 64
Posts: 1,084

06/14/08 - 01:06 AM

Although myocarditis is more common with coxsachie B virus, it can cause pericarditis as well

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