# Progressive Choreiform Movements in a Child: Early Recognition and Management of Sydenham Chorea

**Authors:** Jason M. Jaronik, Nicholas A. Scott, Bruce D. Harley, Phillip L. Marsh, Hassaan A. Khan, Sufyan Zackariya, Anna M. Tincher, Anthony V. Thomas, Mahmoud D. Al-Fadhl, John R. Bales, Morgan C. Lain, Uzma Rizvi, Randall J. Bjork, Mark M. Walsh

PMC · DOI: 10.5334/tohm.988 · Tremor and Other Hyperkinetic Movements · 2025-02-06

## TL;DR

This paper presents a case of Sydenham chorea in a child, emphasizing early recognition and multidisciplinary care for better outcomes.

## Contribution

The paper provides a detailed case study highlighting early symptoms and management strategies for Sydenham chorea.

## Key findings

- Sydenham chorea can progress from subtle symptoms to severe movements in children.
- Early recognition and multidisciplinary care improve outcomes in this rare condition.
- Medication vigilance is crucial in managing Sydenham chorea effectively.

## Abstract

Sydenham chorea, a rare neurological manifestation of acute rheumatic fever, persists in developed countries due to rheumatogenic strains of group A streptococcus.

This case demonstrates the evolution from subtle early symptoms to definitive severe choreiform movements in Sydenham chorea in a 10-year-old female.

This case highlights the importance of early recognition, multidisciplinary management, and vigilance in medication administration to optimize outcomes in rare conditions such as Sydenham chorea.

This case highlights the diagnostic and management challenges of Sydenham chorea, showcasing its progression from subtle early symptoms to definitive severe choreiform movements. It demonstrates the importance of early recognition, multidisciplinary care, and cautious medication administration to optimize outcomes in this rare neurological condition associated with rheumatic fever.

## Linked entities

- **Diseases:** Sydenham chorea (MONDO:0017648), acute rheumatic fever (MONDO:0017767)

## Full-text entities

- **Diseases:** rheumatic fever (MESH:D012213), neurological condition (MESH:D019636), Choreiform Movements (MESH:D002819)
- **Species:** Streptococcus sp. 'group A' (species) [taxon 36470]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC11804171/full.md

## References

3 references — full list in the complete paper: https://tomesphere.com/paper/PMC11804171/full.md

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Source: https://tomesphere.com/paper/PMC11804171