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Rheumatic Fever in Nigerian ChildrenA Prospective Study of 66 Patients
Edwin O. Okoroma, MD;
H'dede N. C. Ihenacho, MB, MRCP;
Chijioke H. Anyanwu, MB, FRCS
Am J Dis Child. 1981;135(3):236-238.
Abstract
• Sixty-six Nigerian children with rheumatic fever were studied between 1975 and 1979. Equal numbers of patients had acute and chronic disease. Carditis was the most common major manifestation, being present in 98% of the cases, whereas subcutaneous nodules, erythema marginatum, and chorea were relatively rare. Twelve patients died within two years of the disease's appearance and eight have become unavailable for follow-up. Our findings resemble those from other tropical countries, in contrast with results from temperate countries: rheumatic fever manifests differently and rheumatic carditis runs a more fulminant course in a person from a tropical area.
(Am J Dis Child 1981;135:236-238)
Author Affiliations
From the Cardiothoracic Unit, University of Nigeria Teaching Hospital, Enugu, and the Departments of Pediatrics (Dr Okoroma), Medicine (Dr Ihenacho), and Surgery (Dr Anyanwu), University of Nigeria Medical School, Enugu.
Footnotes
Reprint requests to Department of Pediatrics, University of Nigeria Teaching Hospital, PMB 1129, Enugu, Nigeria (Dr Okoroma).
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