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Поражение сердца

Острые AV-блокады I, II-III ст.

Полная блокада

Миокардит

89 % детей имеют полное разрешение

Критерии исключения:

сердцебиение, брадикардия, блокады пучка Гиса, миокардит без АV-блокады

Артрит

6 %

Олигоартрит крупных суставов, колено

СОЭ , СРБ, лейкоцитоз

Синовиальная жидкость

>2000-25,000 WBC

+PCR

~10% антибитикорезистентны

АНБ профилатика

• Доксициллин по 0,1 г х2 р/сут-1 раз

Бактериальные

инфекции

МИ Гемоф. инф.

Пневмококк.

Вирусные

инфекции

Полиомиелит Ветряная оспа Краснуха Корь Эпид. паротит

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