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Clinical Evolution of a Case of Sydenham’s Chorea under Sodium Valproate: A Case Report Followed at the University Clinics of Bukavu
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Neuropsychiatry, Eveil Santé Medical Center/MJC asbl, Goma, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 1 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 2 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 3 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 4 Department of Neuropsychiatry, Eveil Santé Medical Center/MJC asbl, Goma, Democratic Republic of the Congo
- 5 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 6 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 7 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 8 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
- 9 Department of Internal Medicine, University Clinics of Bukavu, Faculty of Medicine, Official University of Bukavu, Bukavu, Democratic Republic of the Congo
Open Journal of Internal Medicine·Volume 15 (2025)·Pages 204–209·Published 29 July 2025·DOI10.4236/ojim.2025.153018
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Abstract
Sydenham’s chorea is a post-streptococcal complication that is still common in developing countries, often linked to poorly or untreated recurrent tonsillitis. We report the case of a 17-year-old female patient presenting with sudden choreic movements after a febrile episode, with a history of recurrent tonsillitis. Initial treatment with phenobarbital proved ineffective, leading to the introduction of sodium valproate at a dose of 750 mg twice daily. The outcome was favorable with complete disappearance of abnormal movements within the first few days and no recurrence at one month of follow-up.
KeywordsSydenham’s ChoreaRecurrent TonsillitisSodium ValproateCase Report
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