Overlooking Recurrent Acute Rheumatic Fever in Adulthood.

Justin D Shortell, Ryota Sato, Tanawan Riangwiwat, Michael Olalia, Christina M Chong

Open access · greenAbstract readCase Reports

In one paragraph

Article in Hawai'i journal of health & social welfare, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact, top 78% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

Recurrent Rheumatic Carditis Presenting With Severe Biventricular Dysfunction Despite a Normally Functioning Mechanical Mitral Valve.JACC. Case reports · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Justin D ShortellJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JDS).

Ryota SatoJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JDS).

Tanawan RiangwiwatJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JDS).

Michael OlaliaJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JDS).

Christina M ChongJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JDS).

University of Hawaiʻi at Mānoa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute rheumatic fever in an adult is a rare entity. We present a 29-year-old man of mixed ancestry, including Native Hawaiian and other Pacific Islander, who presented with a 6-week history of migratory polyarthralgia and fever with a recent history of purulent lower extremity wounds and a remote history of acute rheumatic fever in childhood. The diagnosis of recurrent acute rheumatic fever was confirmed by elevated Antistreptolysin-O titers and Anti-DNase B titers. This case presentation showcases a Native Hawaiian and other Pacific Islander with acute rheumatic fever in both childhood and adulthood following pyoderma infection, with a delay in diagnosis and management for both episodes. The patient had an excellent response to naproxen without developing complications and was restarted on secondary antibiotic prophylaxis. Health care providers in the Pacific region should understand the relationship between pyoderma and acute rheumatic fever in addition to including acute rheumatic fever in the differential diagnosis of polyarthralgia in an adult.

Indexed as

Delayed DiagnosisAdultAnti-Bacterial AgentsAntibiotic ProphylaxisArthralgiaHumansMalePenicillinsRecurrenceRheumatic FeverAnti-Bacterial AgentsPenicillinsacute rheumatic fevermigratory polyarthritisPacific Islanderpyodermarheumatic heart disease

Identifiers

PMID31501827

PMCPMC6731183

OpenAlexW2990708162

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.