Article
The prophylaxis of acute rheumatic fever in a pair of monozygotic twins. The public health implications.
The West Indian medical journal - 1 Dec 1999
Denbow C E, Barton E N, Smikle M F
Abstract excerpt
Recurrent acute rheumatic fever and rheumatic heart disease can be prevented by antibiotic intervention. We report the case of genetically identical twins, one of whom had overt rheumatic fever, received penicillin prophylaxis and did not have rheumatic heart disease. The other must have had inapparent rheumatic fever, received no chemotherapy prophylaxis and proceeded to develop rheumatic heart disease. A...
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