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Case Reports in Pediatrics
Volume 2013 (2013), Article ID 674174, 4 pages
http://dx.doi.org/10.1155/2013/674174
Case Report

Novel Finding of Coronary Ectasia in a Case of Acute Rheumatic Fever

1Pediatric Residency Program, Children's National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010, USA
2Division of Cardiology, Children's National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010, USA

Received 22 May 2013; Accepted 18 June 2013

Academic Editors: B. Das and H. Horigome

Copyright © 2013 Thomas Weiler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 10-year-old boy presented to his pediatrician with acute fever, rash, and polyarthritis. Laboratory studies revealed elevated inflammatory markers and positive throat culture. Echocardiogram demonstrated panvalvular insufficiency consistent with acute rheumatic fever (ARF) and coronary artery ectasia. This latter finding, typically associated with Kawasaki disease, has not been previously reported in ARF.