June 1985

An Unusual Case of Rheumatic Pneumonia

Author Affiliations

From the Departments of Medicine B (Drs Raz, Israeli, Gottehrer, and Kleinman) and Medical Biophysics and Nuclear Medicine (Dr Chisin) and the Intensive Respiratory Care Unit (Dr Fisher), Hadassah University Hospital, Jerusalem.

Arch Intern Med. 1985;145(6):1130-1131. doi:10.1001/archinte.1985.00360060198032

• A 14-year-old boy developed severe respiratory failure during the course of acute rheumatic fever. The results of all microbiological studies were normal. Rheumatic carditis or left ventricular failure was excluded by routine examinations, catheterization of the right side of the heart, and multiple-gated radionuclide ventriculography. The patient recovered completely after a course of high-dose prednisone. To our knowledge, this is the first well-documented case of rheumatic pneumonia in which the lung disease could be attributed to the rheumatic disease and not to a pathologic heart condition.

(Arch Intern Med 1985;145:1130-1131)