Case Report on Management of Rheumatic Valvular Heart Disease with Autoimmune Gastritis.

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Ms. Sonali R. Vishwakarma, Ms. Bhagyashree Ganeshpure , Shital Telrandhe , S. M. Waghmare

Abstract

Background: Rheumatic heart disease is systematic immune process that sequence to a beta - hemolytic streptococcal bacterial infection of the pharynx. Autoimmune gastritis is a long-term inflammatory condition that leads to mucosal atrophy. It's critical to recognize that chronic atrophic gastritis is not the same as AIG, as chronic atrophic gastritis results in mucosal atrophy. Present complaints and investigation:  A case of 62 year old female admitted in AVBRH on dated 23/04/2021 with chief complaint of chest & joint pain, vomiting, lack of appetite, weakness, shortness of breath Since 2 Month.  Investigation:  Hemoglobin is decreased 8.2gm/dl, RBC count is increased 6.92 million /cell, Prothrombin  level is Decreased 8.4, stool test, upper endoscopy, upper gastrointestinal exam carried out &after that .Doctor diagnosed Autoimmune Gastritis with Rheumatic valvular heart disease. Past history: 2 month before she was admitted in Medical Hospital Nagpur for Rheumatic valvular heart disease .she took the treatment for that. After physical examination and investigation doctor diagnose a case rheumatic valvular heart disease and autoimmune gastritis Tab. ecosprin 75mg. Tab. Digoxin0.5 mg. Inj. metro 100ml iron supplements. Vitamin B12 was given 10 days to help immune system fight to disease condition. Conclusion: she was response to all medication as well as doctor treatment and her recovery was good

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