Рецепт. 2020; : 816-827
Дифференциальный диагнозпри острой ревматической лихорадке. Постстрептококковый артрит и миокардит
https://doi.org/10.34883/PI.2020.23.6.002Аннотация
Ревматические болезни сердца (острая ревматическая лихорадка и хроническая ревматическая болезнь сердца) – актуальная клиническая, эпидемиологическая и в ряде стран социальная проблема. Диагностика ревматических поражений основана на синдромологическом подходе, т. к. специфических критериев нет. Это определяет необходимость серьезного дифференциально-диагностического поиска в каждой клинической ситуации. В статье представлены клинические случаи постстрептококкового артрита и миокардита с позиций дифференциального диагноза с ревматическим поражением суставов и сердца. Обсуждаются современные особенности течения острой ревматической лихорадки, роль стрептококковой инфекции, возможности и проблемы диагностики и дифференциальной диагностики.
Список литературы
1. (2020) RHDAustralia (ARF/RHD writing group). The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (3rd edition).
2. Kuzmina N.N., Medyntseva L.G., Movsisyan G.R. (2010) Ostraia revmaticheskaia likhoradka u detei 50-letnii opyt nabliudeniia ot proshlogo k budushchemu [Acute rheumatic fever in children: 50-year experience of follow-up (from the past to the future)]. Rheumatology Science and Practice, vol. 48, no 1, pp. 9–14. Available at: https://doi.org/10.14412/1995-4484-2010-1400
3. Watkins D.A., Johnson C.O., Colquhoun S.M. (2017) Global, Regional, and National Burden of Rheumatic Heart Disease, 1990–2015. The New England Journal of Medicine, vol. 377, no 8, pp. 713–22. Available at: https://doi.org/10.1056/NEJMoa1603693
4. Kuzmina N.N., Belov B.S., Medyntseva L.G. (2016) Ostraia revmaticheskaia likhoradka v XXI veke problema kotoruiu zabyvat nelzia zabyvat [Acute rheumatic fever in the 21st century: the problem that cannot be forgotten]. Nauchno-Prakticheskaya Revmatologiya, vol. 54, no 1, pp. 5–9. doi: http://dx.doi.org/10.14412/1995-4484-2016-5-9
5. Engel M.E., Stander R., Vogel J., Adeyemo A.A., Mayosi B.M. (2011) Genetic susceptibility to acute rheumatic fever: a systematic review and meta- analysis of twin studies. PLoS One, vol. 6, no 9, e25326. doi:10.1371/journal.pone.0025326
6. Gewitz M.H., Baltimore R.S., Tani L.Y. (2015) Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation, vol. 131, no 20, pp.1806–18.
7. Carapetis J.R., Steer A.C., Mulholland E.K., Weber M. (2005) The global burden of group A streptococcal diseases. Lancet Infect Dis, vol. 5, no 11, pp. 685–94. doi: 10.1016/S1473-3099(05)70267-X.
8. Belov B.S. (2002) A-streptokokkovaia infektsiia na rubezhe vekov [A-streptococcal infection at the border of ages]. Rheumatology Science and Practice, vol. 40, no 1, pp. 29–34. Available at: https://doi.org/10.14412/1995-4484-2002-746
9. Hackett S.P., Schlievert P.M., Stevens D.L. (1991) Cytokine production by human mononuclear cells in response to streptococcal exotoxins. Clin. Res., 39, 189A.
10. Hauser AR, Stevens DL, Kaplan EL, Schlievert PM. (1991) Molecular analysis of pyrogenic exotoxins from Streptococcus pyogenes isolates associated with toxic shock-like syndrome. J Clin Microbiol., vol. 29, no 8, pp. 1562–7. doi: 10.1128/JCM.29.8.1562-1567.1991.
11. Belov B.S., Kuzmina N.N., Medyntseva L.G. (2016) Ostraia revmaticheskaia likhoradka v XXI veke Problemy i poisk reshenii [Acute rheumatic fever in the XXI century: problems and search for solutions]. Meditsinskiy sovet, no 9, pp. 96–101. Available at: https://doi.org/10.21518/2079- 701X-2016-9-96-101
12. Hoge C.W., Schwartz B., Talkington D.F. (1993) The changing epidemiology of invasive group A streptococcal infections and the emergence of strep to coccal toxic shock-like syndrome. JAMA, vol. 269, no 3, pp. 384–389.
13. Johnson D.R., Stevens D.L., Kaplan E.L. (1992) Epidemiologic analysis of group A streptococcal serotypes associated with severe systemic infections, rheumatic fever, or uncomplicated pharyngitis. J. Infect. Dis., vol. 166, no 2, pp. 374–382.
14. Belov B.S. (2012) Revmaticheskii kardit problemy differentsialnoi diagnostiki lektsiia [Rheumatic carditis: problems of differential diagnosis (a lecture)]. Rheumatology Science and Practice, 50(6):50–55. Available at: https://doi.org/10.14412/1995-4484-2012-1294
15. Barash J., Mashiach E., Navon-Elkan P. (2008) Differentiation of post-streptococcal reactive arthritis from acute rheumatic fever. Journal of Pediatrics, vol. 153, no 5, pp. 696–9. Available at: https://doi.org/10.1186/1546-0096-6-S1-P198
16. Van Bemmel J., Delgado V., Holman E.R. (2009) No increased risk of valvular heart disease in adult poststreptococcal reactive arthritis. Arthritis and Rheumatology, vol. 60, no 4, pp. 987–93. Available at: https://doi.org/10.1002/art.24401
17. Tandon R. (2012) Rheumatic fever pathogenesis: Approach in research needs change. Ann Pediatr Cardiol, vol. 5, no 2, pp. 169–78. doi: 10.4103/0974-2069.99621
18. Pastukhova T.S. (2019) Vozmozhnosti diagnostiki pogranichnogo revmaticheskogo valvulita v klinicheskoi praktike [Possibilities of diagnostics of borderline rheumatic valvulitis in clinical practice]. Aktualnye problemy sovremennoi meditsiny i farmatsii 2019 sbornik materialov LXXIII Mezhdunarodnoi nauchno-prakticheskoi konferentsii studentov i molodykh uchenykh [Topical problems of modern medicine and pharmacy 2019. Collection of materials of the LXXIII International scientific-practical conference of students and young scientists]. Minsk: BGMU, pp. 337–340.
Recipe. 2020; : 816-827
Differential Diagnosis in Acute Rheumatic Fever. Post-Streptococcal Arthritis and Myocarditis
https://doi.org/10.34883/PI.2020.23.6.002Abstract
References
1. (2020) RHDAustralia (ARF/RHD writing group). The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (3rd edition).
2. Kuzmina N.N., Medyntseva L.G., Movsisyan G.R. (2010) Ostraia revmaticheskaia likhoradka u detei 50-letnii opyt nabliudeniia ot proshlogo k budushchemu [Acute rheumatic fever in children: 50-year experience of follow-up (from the past to the future)]. Rheumatology Science and Practice, vol. 48, no 1, pp. 9–14. Available at: https://doi.org/10.14412/1995-4484-2010-1400
3. Watkins D.A., Johnson C.O., Colquhoun S.M. (2017) Global, Regional, and National Burden of Rheumatic Heart Disease, 1990–2015. The New England Journal of Medicine, vol. 377, no 8, pp. 713–22. Available at: https://doi.org/10.1056/NEJMoa1603693
4. Kuzmina N.N., Belov B.S., Medyntseva L.G. (2016) Ostraia revmaticheskaia likhoradka v XXI veke problema kotoruiu zabyvat nelzia zabyvat [Acute rheumatic fever in the 21st century: the problem that cannot be forgotten]. Nauchno-Prakticheskaya Revmatologiya, vol. 54, no 1, pp. 5–9. doi: http://dx.doi.org/10.14412/1995-4484-2016-5-9
5. Engel M.E., Stander R., Vogel J., Adeyemo A.A., Mayosi B.M. (2011) Genetic susceptibility to acute rheumatic fever: a systematic review and meta- analysis of twin studies. PLoS One, vol. 6, no 9, e25326. doi:10.1371/journal.pone.0025326
6. Gewitz M.H., Baltimore R.S., Tani L.Y. (2015) Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation, vol. 131, no 20, pp.1806–18.
7. Carapetis J.R., Steer A.C., Mulholland E.K., Weber M. (2005) The global burden of group A streptococcal diseases. Lancet Infect Dis, vol. 5, no 11, pp. 685–94. doi: 10.1016/S1473-3099(05)70267-X.
8. Belov B.S. (2002) A-streptokokkovaia infektsiia na rubezhe vekov [A-streptococcal infection at the border of ages]. Rheumatology Science and Practice, vol. 40, no 1, pp. 29–34. Available at: https://doi.org/10.14412/1995-4484-2002-746
9. Hackett S.P., Schlievert P.M., Stevens D.L. (1991) Cytokine production by human mononuclear cells in response to streptococcal exotoxins. Clin. Res., 39, 189A.
10. Hauser AR, Stevens DL, Kaplan EL, Schlievert PM. (1991) Molecular analysis of pyrogenic exotoxins from Streptococcus pyogenes isolates associated with toxic shock-like syndrome. J Clin Microbiol., vol. 29, no 8, pp. 1562–7. doi: 10.1128/JCM.29.8.1562-1567.1991.
11. Belov B.S., Kuzmina N.N., Medyntseva L.G. (2016) Ostraia revmaticheskaia likhoradka v XXI veke Problemy i poisk reshenii [Acute rheumatic fever in the XXI century: problems and search for solutions]. Meditsinskiy sovet, no 9, pp. 96–101. Available at: https://doi.org/10.21518/2079- 701X-2016-9-96-101
12. Hoge C.W., Schwartz B., Talkington D.F. (1993) The changing epidemiology of invasive group A streptococcal infections and the emergence of strep to coccal toxic shock-like syndrome. JAMA, vol. 269, no 3, pp. 384–389.
13. Johnson D.R., Stevens D.L., Kaplan E.L. (1992) Epidemiologic analysis of group A streptococcal serotypes associated with severe systemic infections, rheumatic fever, or uncomplicated pharyngitis. J. Infect. Dis., vol. 166, no 2, pp. 374–382.
14. Belov B.S. (2012) Revmaticheskii kardit problemy differentsialnoi diagnostiki lektsiia [Rheumatic carditis: problems of differential diagnosis (a lecture)]. Rheumatology Science and Practice, 50(6):50–55. Available at: https://doi.org/10.14412/1995-4484-2012-1294
15. Barash J., Mashiach E., Navon-Elkan P. (2008) Differentiation of post-streptococcal reactive arthritis from acute rheumatic fever. Journal of Pediatrics, vol. 153, no 5, pp. 696–9. Available at: https://doi.org/10.1186/1546-0096-6-S1-P198
16. Van Bemmel J., Delgado V., Holman E.R. (2009) No increased risk of valvular heart disease in adult poststreptococcal reactive arthritis. Arthritis and Rheumatology, vol. 60, no 4, pp. 987–93. Available at: https://doi.org/10.1002/art.24401
17. Tandon R. (2012) Rheumatic fever pathogenesis: Approach in research needs change. Ann Pediatr Cardiol, vol. 5, no 2, pp. 169–78. doi: 10.4103/0974-2069.99621
18. Pastukhova T.S. (2019) Vozmozhnosti diagnostiki pogranichnogo revmaticheskogo valvulita v klinicheskoi praktike [Possibilities of diagnostics of borderline rheumatic valvulitis in clinical practice]. Aktualnye problemy sovremennoi meditsiny i farmatsii 2019 sbornik materialov LXXIII Mezhdunarodnoi nauchno-prakticheskoi konferentsii studentov i molodykh uchenykh [Topical problems of modern medicine and pharmacy 2019. Collection of materials of the LXXIII International scientific-practical conference of students and young scientists]. Minsk: BGMU, pp. 337–340.
