A 13-year-old female presented with a 10-day history of subjective fever and pain in multiple joints. Physical exam revealed the rash on left medial malleolus and both knees, as well as swelling, tenderness, and erythema of the left ankle, right knee, and several small joints of the right hand. Lab Analysis ESR at 77 mm/hr, a throat culture was positive for group A beta-hemolytic streptococcus (GABS).
Echocardiogram (ECG) showed normal left ventricular shortening fraction and mild mitral and tricuspid regurgitation consistent with possible mild carditis ECG showed first-degree heart block with a PR interval of 180 ms. What can be the probable diagnosis and effective management? Source: Medscape *This case is from Docplexus Editorial Team for educative purpose only.
