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Rheumatic carditis – subclinical — RACP Paediatrics MCQ

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ModerateCardiologyRheumatic carditis – subclinicalRACP Paediatrics

An 8-year-old Aboriginal child has fever, new-onset MR (including subclinical echo MR), migratory polyarthritis, ASO 800, ESR 95. What is the most likely cardiac diagnosis?

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Correct answer: C — Rheumatic carditis

Subclinical carditis (echocardiographic valve changes without auscultatory findings) is a major Jones criterion. New MR with ARF features confirms rheumatic carditis.

Reference: RHDAustralia – 2020; AHA – 2015 – Revised Jones Criteria