Article Text
Miscellanea
A case of rheumatic fever
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A 50 year old man presented with painful swelling in his feet, knees and right wrist 14 days after a throat infection (below). An ECG at the onset of symptoms had shown first degree heart block (ECG 1). His ESR was 108 mm/hr, CRP 336 mg/ml, WBC at 14.3×109/l. ECG was normal (ECG …