Active Rheumatic Heart Disease in a Yemeni Adolescent With Sickle Cell Disease: A Case Report and Review of the Literature

摘要

A 14-year-old Yemeni male adolescent presented to Al-Jedaani Hospital in southern Jeddah, Saudi Arabia, with inability to walk due to bilateral leg and ankle pain of 1-week duration. Consultation with other hospitals established him as a known patient with sickle cell disease (SCD). The patient reported a history of recurrent similar attacks that had been diagnosed as sickle cell crises.On examination, the patient was fully conscious and in pain. His vital signs showed a temperature of 38.5°C, a pulse rate of 100 beats/min, blood pressure of 110/70 mmHg, and a respiratory rate of 30 breaths/min. He was pale and jaundiced without cyanosis. Bilateral ankle arthritis, tender legs, and mild hepatosplenomegaly were observed.