Acute Congestive Heart Failure in a Young WomanNovel Teaching Points

We describe the case of an adult First Nations woman employed as a daycare worker who presented with clinical symptoms, signs, and imaging suggestive of acute heart failure. In our report, we discuss the likely diagnosis of acute rheumatic fever. Novel teaching points: The incidence of rheumatic fev...

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Main Authors: Preston Njaa, MD, Teresa Bree, MD, Jacobus S. De Villiers, MD, Benjamin Leis, MD
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:CJC Open
Online Access:http://www.sciencedirect.com/science/article/pii/S2589790X20301645
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spelling doaj-9d4800749bc74f4585a50ec719c6d6b02021-02-13T04:26:24ZengElsevierCJC Open2589-790X2021-02-0132214216Acute Congestive Heart Failure in a Young WomanNovel Teaching PointsPreston Njaa, MD0Teresa Bree, MD1Jacobus S. De Villiers, MD2Benjamin Leis, MD3Corresponding author: Dr Preston Njaa, 22 Grosvenor Crescent, Saskatoon, Saskatchewan S7J2S2, Canada. Tel.: +1306-270-7493.; Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaWe describe the case of an adult First Nations woman employed as a daycare worker who presented with clinical symptoms, signs, and imaging suggestive of acute heart failure. In our report, we discuss the likely diagnosis of acute rheumatic fever. Novel teaching points: The incidence of rheumatic fever in Canada is likely underestimated, and it is important to consider the diagnosis of acute rheumatic fever in individuals presenting with acute heart failure. More research is needed in Canada to further identify groups most at risk for developing this disease. Résumé: Nous exposons le cas d’une femme adulte d’origine autochtone travaillant dans une garderie dont les symptômes et signes cliniques ainsi que les résultats aux examens d’imagerie évoquaient une insuffisance cardiaque aiguë. Nous expliquons pourquoi nous avons plutôt envisagé un diagnostic de rhumatisme articulaire aigu. Nouveaux points d’enseignement : l’incidence des cas de rhumatisme articulaire aigu au Canada est vraisemblablement sous-estimée, et il importe d’envisager ce diagnostic chez les personnes présentant des signes évocateurs d’une insuffisance cardiaque aiguë. D’autres recherches s’imposent au Canada afin de mieux cerner les groupes les plus susceptibles de présenter une telle affection.http://www.sciencedirect.com/science/article/pii/S2589790X20301645
collection DOAJ
language English
format Article
sources DOAJ
author Preston Njaa, MD
Teresa Bree, MD
Jacobus S. De Villiers, MD
Benjamin Leis, MD
spellingShingle Preston Njaa, MD
Teresa Bree, MD
Jacobus S. De Villiers, MD
Benjamin Leis, MD
Acute Congestive Heart Failure in a Young WomanNovel Teaching Points
CJC Open
author_facet Preston Njaa, MD
Teresa Bree, MD
Jacobus S. De Villiers, MD
Benjamin Leis, MD
author_sort Preston Njaa, MD
title Acute Congestive Heart Failure in a Young WomanNovel Teaching Points
title_short Acute Congestive Heart Failure in a Young WomanNovel Teaching Points
title_full Acute Congestive Heart Failure in a Young WomanNovel Teaching Points
title_fullStr Acute Congestive Heart Failure in a Young WomanNovel Teaching Points
title_full_unstemmed Acute Congestive Heart Failure in a Young WomanNovel Teaching Points
title_sort acute congestive heart failure in a young womannovel teaching points
publisher Elsevier
series CJC Open
issn 2589-790X
publishDate 2021-02-01
description We describe the case of an adult First Nations woman employed as a daycare worker who presented with clinical symptoms, signs, and imaging suggestive of acute heart failure. In our report, we discuss the likely diagnosis of acute rheumatic fever. Novel teaching points: The incidence of rheumatic fever in Canada is likely underestimated, and it is important to consider the diagnosis of acute rheumatic fever in individuals presenting with acute heart failure. More research is needed in Canada to further identify groups most at risk for developing this disease. Résumé: Nous exposons le cas d’une femme adulte d’origine autochtone travaillant dans une garderie dont les symptômes et signes cliniques ainsi que les résultats aux examens d’imagerie évoquaient une insuffisance cardiaque aiguë. Nous expliquons pourquoi nous avons plutôt envisagé un diagnostic de rhumatisme articulaire aigu. Nouveaux points d’enseignement : l’incidence des cas de rhumatisme articulaire aigu au Canada est vraisemblablement sous-estimée, et il importe d’envisager ce diagnostic chez les personnes présentant des signes évocateurs d’une insuffisance cardiaque aiguë. D’autres recherches s’imposent au Canada afin de mieux cerner les groupes les plus susceptibles de présenter une telle affection.
url http://www.sciencedirect.com/science/article/pii/S2589790X20301645
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