A forgotten cause of chest pain in the United States: a case report on acute rheumatic fever

Jason A. Miller, Robert Kim, Madhavi Kadiyala, Terry Marryshow, Gordon S. Huggins · 2026

Read A forgotten cause of chest pain in the United States: a case report on acute rheumatic fever by Jason A. Miller, Robert Kim, Madhavi Kadiyala, Terry Marryshow, Gordon S. Huggins (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13591728.txt.

Description

Jason A Miller and four colleagues recount, in 2026, a young American man whose chest pain was first blamed on repeat inflammation around the heart. Acute rheumatic fever, an immune reaction after untreated strep throat, has grown rare in the United States, which lets it hide. At a Boston hospital his heart enzyme levels ran high, and a heart MRI showed muscle inflammation. No valve damage appeared on scans.

Wandering joint aches then prompted blood tests for strep antibodies, and both markers came back high. With heart inflammation as a major sign and joint aches plus raised inflammation as minor ones, he met the standard Jones criteria. Miller and the team urge keeping rheumatic fever in mind and using heart MRI when standard scans stay murky.

Catalog record

CREATORJason A. Miller, Robert Kim, Madhavi Kadiyala, Terry Marryshow, Gordon S. Huggins
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE23345
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13591728

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