Rheumatic fever

Urgent Ask for Clinical Support
Patient: 8-year-old child, a close family relation.
Suspected Diagnosis: Acute Rheumatic Fever (ARF), a critical condition that can lead to permanent heart damage (Rheumatic Heart Disease) if not treated promptly.
Current Situation: Seeking immediate, expert clinical support for diagnosis and treatment.

Given the sensitive and urgent nature of a child's medical condition, it's crucial to seek immediate, professional medical advice from qualified doctors. The following information is for informational purposes only and is not a substitute for clinical consultation.

Based on the provided context of "Acute Rheumatic fever" in an 8-year-old child, here is an urgent request for clinical support.

Urgent Ask for Clinical Support
Patient: 8-year-old child, a close family relation.
Suspected Diagnosis: Acute Rheumatic Fever (ARF), a critical condition that can lead to permanent heart damage (Rheumatic Heart Disease) if not treated promptly.
Current Situation: Seeking immediate, expert clinical support for diagnosis and treatment.

Required Actions:

Immediate Diagnosis: Confirmation of ARF diagnosis using a combination of clinical criteria (Jones criteria), blood tests (ESR, CRP, anti-streptolysin O), and a thorough cardiac evaluation including an echocardiogram to check for carditis.

Prompt Treatment: Initiation of appropriate treatment protocols, including a course of antibiotics to eradicate the strep infection and anti-inflammatory medication to manage the symptoms and inflammation, especially in the heart.

Long-Term Plan: Establishment of a long-term secondary prophylaxis plan with regular antibiotic injections to prevent recurrence, which is key to preventing progressive heart damage.

Vellore
The most highly recommended institution in this region for complex and affordable medical care is Christian Medical College (CMC), Vellore.

Relevance: CMC Vellore has a globally recognized Department of Clinical Immunology and Rheumatology that includes a dedicated Paediatric Rheumatology Clinic. Their Cardiology Department also has a long-standing reputation and a multidisciplinary approach to heart diseases, including rheumatic heart disease. This institution is known for its high-quality care at a reasonable cost with a humane touch.

Departments to Touchbase:

Clinical Immunology and Rheumatology: They have a specific Pediatric Rheumatology clinic on Friday afternoons.

Cardiology: The department specializes in valvular heart disease and is well-equipped to manage the cardiac complications of rheumatic fever.

Contact Information: You will need to book an appointment through their central appointment system. It is best to reach out to the hospital's main helpline or website for the most current booking procedures and contact details for the respective departments.

Bangalore
Bangalore has several leading hospitals with specialized pediatric cardiology departments.

Narayana Health City: This is a major cardiac center known for its large volume of pediatric heart surgeries and treatments. It's often cited for its affordable and high-quality care, especially under the leadership of its founder, Dr. Devi Shetty, who aimed to make cardiac care accessible.

Aster CMI Hospital: This hospital is also well-regarded for its pediatric and cardiac care. It has a dedicated pediatric interventional cardiology team.

Manipal Hospitals: The Old Airport Road and Millers Road branches have strong pediatric cardiology departments.

Rainbow Children's Hospital: While more focused on pediatrics, they have a strong reputation for comprehensive child health services, which would include critical care for conditions like ARF.

Urgent Call to Action for the Medical Community
To all relevant medical professionals and networks:

We are seeking immediate guidance and referrals for the clinical management of a critical pediatric case of suspected Acute Rheumatic Fever in an 8-year-old. We need to act with utmost urgency to prevent irreversible heart damage. Any contacts for a lead consultant or a senior resident in the aforementioned

hospitals (CMC Vellore, Narayana Health City, Aster CMI) would be invaluable. Your quick response could be life-saving. Please share any relevant SPOC details or direct contact numbers for urgent clinical support. Thank you for your time and compassion