ACTIVE RHEUMATIC FEVER DURING PREGNANCY

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Abstract
Active rheumatic fever occurring during pregnancy is rare. Hamilton and Thomson1 found seven authentic cases of recurrent rheumatic fever in 781 pregnant women with chronic rheumatic heart disease. This represented 700 patient-years of study. These authors further state that they "made the diagnosis with more or less certainty only ten times in twenty years of extraordinary opportunity." The following case is reported in order that experience in the management of this complication may be gained. REPORT OF CASE H. R., a Negro female, had had no significant illnesses until she was 14 years old, when there was pain in the left foot and ankle for approximately one week. She was then apparently well until age 18, when she became ill, having a painful, swollen right wrist, and fever. As the wrist improved the fingers and knees became painful but not swollen. She was treated at home with acetylsalicylic acid

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