ABSTRACT

Acute rheumatic fever is an exceedingly rare condition in the developed world. It is thought to have nearly disappeared in the United States. Through the case of a 41-year-old Caucasian female who presented with progressive dyspnea and symptoms of heart failure, due to subacute rheumatic valvulitis, the importance of multimodality cardiovascular imaging assessment of patients presenting with severe,multi-valvular dysfunction is highlighted. This case also serves as a powerful reminder for clinicians that rheumatic valvulitis should remain in the differential diagnoses for patients with otherwise unexplained severe, multi-valvular dysfunction