ABSTRACT
Sydenham’s chorea is a major manifestation of Rheumatic fever. It occurs
primarily in children and is seen rarely after the age of 20 years.
We describe a 16 year old girl who presented with purposeless
involuntary movements of upper and lower limbs. Laboratory blood reports
showed raised Erythrocyte Sedimentation Rate and Anti-streptolysin O. 2D
Doppler Echocardiography confirmed sub-clinical carditis, thickened
mitral and aortic valve with mild mitral regurgitation. She was managed
as Acute Rheumatic Fever with oral Phenoxymethyl penicillin and
carbamazepine.
Early diagnosis is a key to prevent the late consequences of Acute
Rheumatic Fever and Rheumatic Heart Disease.
Sydenham’s chorea is a rare presentation of Acute Rheumatic Fever.
Absence of clinical carditis does not rule out carditis.
Echocardiography should be done.