<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402025000200199</article-id>
<article-id pub-id-type="doi">10.24875/acm.24000155</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute rheumatic fever: 15-year single-center experience of a middle-income country in Latin America]]></article-title>
<article-title xml:lang="es"><![CDATA[Fiebre reumática aguda: 15 años de experiencia en un centro de salud de un país de ingresos medios en Latinoamérica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano-Espinosa]]></surname>
<given-names><![CDATA[Diego A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Márquez-Herrera]]></surname>
<given-names><![CDATA[Kelly C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huertas-Quiñonez]]></surname>
<given-names><![CDATA[Víctor M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanguino-Lobo]]></surname>
<given-names><![CDATA[Roy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Maldonado]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,HOMI, Fundación Hospital Pediátrico La Misericordia Pediatric Cardiology Unit ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Infantil Santa María del Lago Pediatric Infectology Unit ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Cardioinfantil-La Cardio Division of Pediatric Cardiology ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Colombia School of Medicine Pediatric Department]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,HOMI, Fundación Hospital Pediátrico La Misericordia Pediatric Cardiology Unit ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,HOMI, Fundación Hospital Pediátrico La Misericordia Pediatric Rheumatology Unit ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Instituto Roosevelt Pediatric Rheumatology Unit ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>95</volume>
<numero>2</numero>
<fpage>199</fpage>
<lpage>206</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402025000200199&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402025000200199&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402025000200199&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Acute rheumatic fever (ARF) is the leading cause of acquired heart disease in children and young adults in developing countries. The objective is to describe the clinical and epidemiological presentation of patients under 18 years of age with ARF in a pediatric hospital in Colombia over a period of 15 years (2006-2020), emphasizing cardiac involvement.  Methods: Case series study of children with rheumatic fever for 15 years (2006 to 2020).  Results: Seventy patients under the age of 18 with criteria for acute rheumatic fever were evaluated. Mean age was 10 years. Chorea was the most frequent manifestation (n = 51, 72.8%) followed by carditis (n = 31, 44.2%). Cases of ARF were proportionally more frequent from 2015 (43/70, 61.4%), as did the frequency of carditis (19/31, 61.2%) and subclinical carditis (7/11, 63.6%). Eight percent had a PR prolongation.  Conclusions: The incidence in this study is high (moderate-risk). Chorea was the most frequent initial manifestation, which reflects the late diagnosis. The case frequency of acute rheumatic fever, especially for carditis and subclinical carditis, increased considerably beginning in 2015. Echocardiographic is trascendent because 35.4% of cases with carditis were subclinical.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: La fiebre reumática aguda (FRA) es la principal causa de enfermedad cardiaca adquirida en niños y adultos jóvenes en países en desarrollo. El objetivo es el de describir la presentación clínica y epidemiológica de pacientes menores de 18 años con FRA en un hospital pediátrico en Colombia en un período de 15 años (2006-2020), haciendo énfasis en el compromiso cardiaco.  Métodos: Estudio de serie de casos de niños con FRA durante 15 años (2006-2020).  Resultados: Setenta pacientes menores de 18 años con FRA. La mayoría de los pacientes con FRA fueron niñas (44/70, 62.9%). El promedio de edad fue de 10 años. De los criterios mayores, la corea fue la más frecuente (51/70, 72.8%), seguida de la carditis (31/70, 44.2%). Los casos de FRA fueron proporcionalmente más frecuentes desde 2015 (43/70, 61,4%), al igual que la frecuencia de carditis (19/31, 61,2%) y carditis subclínica (7/11, 63,6%). 8% tuvo prolongación del PR.  Conclusiones.: La incidencia de FRA en este estudio es alta (riesgo moderado). La corea fue la manifestación inicial más frecuente, lo que refleja el diagnóstico tardío. La frecuencia de casos de FRA, especialmente de carditis y carditis subclínica, aumentó considerablemente a partir de 2015. La ecocardiografía es trascendental porque el 35,4% de los casos con carditis fueron subclínicos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Acute rheumatic fever]]></kwd>
<kwd lng="en"><![CDATA[Carditis]]></kwd>
<kwd lng="en"><![CDATA[Subclinical carditis]]></kwd>
<kwd lng="en"><![CDATA[Chorea]]></kwd>
<kwd lng="en"><![CDATA[Arthritis]]></kwd>
<kwd lng="es"><![CDATA[Fiebre reumática aguda]]></kwd>
<kwd lng="es"><![CDATA[Carditis]]></kwd>
<kwd lng="es"><![CDATA[Carditis subclínica]]></kwd>
<kwd lng="es"><![CDATA[Corea]]></kwd>
<kwd lng="es"><![CDATA[Artritis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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