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Perforated gastric ulcer complicating corticosteroid therapy in acute rheumatic fever

Journal Volume 63 - 2000
Issue Fasc.2 - Case reports
Author(s) A. Klar, J. Moise, A. Brand, D. Seror, H. Hurvitz
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(1) Department of Paediatrics, Bikur Cholim General Hospital affiliated with the Hebrew University-Hadassah Medical School, Jerusalem, Israel ; (2) Department of Paediatric Surgery, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.

We report an 11-year-old boy with acute rheumatic fever who presented with gastric perforation while treated with corticosteroids (CS). He had been treated initially with acetylsalicylic acid for 11 days, CS replaced the treatment with acetylsalicylic acid due to deterioration of carditis. The possible pathogenesis is discussed.

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