PEDIATRICS Vol. 43 No. 4 April 1969, pp. 573-577
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APPENDECTOMY IN CHILDREN WITH ACUTE RHEUMATIC FEVER

Jer-Shoung Lin M.D.1 and Ramon Rodriguez-Torres M.D.1

1 The Department of Pediatrics, State University of New York, Downstate Medical Center, and Kings County Hospital, Brooklyn, New York

Clinical and laboratory data on five patients with appendectomy, later proved to have acute rheumatic fever, are presented in detail. The findings indicate that abdominal pain simulating acute appendicitis can be presented as the only initial symptom in acute rheumatic fever. Awareness and knowledge of the presence of clues-high fever, rapid sedimentation rate, prolonged P-R interval, and 4 plus C-reactive protein-usually help to make the differential diagnosis. However, if doubt remains, the right approach is to go ahead with surgery since these patients tolerate anesthesia and laparotomy very well.

Submitted on August 6, 1968
Accepted on November 25, 1968




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S. T. Shulman, B. E. Victorica, and E. M. Ayoub
Abdominal Pain in Acute Rheumatic Fever: An Unusual Demonstration of the Mimetic Nature of This Disease
Clinical Pediatrics, October 1, 1971; 10(10): 610 - 612.
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