Junctional tachycardia in a child with non-rheumatic fever streptococcal pharyngitis

Neha Bansal, Peter P. Karpawich, Chenni S. Sriram

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Accelerated junctional rhythm has been reported in children in the setting of acute rheumatic fever; however, we describe a hitherto unreported case of isolated junctional tachycardia in a child with streptococcal pharyngitis, not meeting revised Jones criteria for rheumatic fever. A previously healthy, 9-year-old girl presented to the emergency department with complaints of sore throat, low-grade fever, and intermittent chest pain. She was found to have a positive rapid streptococcal antigen test. The initial electrocardiogram showed junctional tachycardia with atrioventricular dissociation in addition to prolonged and aberrant atrioventricular conduction. An echocardiogram revealed normal cardiac anatomy with normal biventricular function. The patient responded to treatment with amoxicillin for streptococcal pharyngitis. The junctional tachycardia and other electrocardiogram abnormalities resolved during follow-up.

Original languageEnglish
Pages (from-to)985-989
Number of pages5
JournalCardiology in the Young
Issue number5
StatePublished - 1 Jul 2017
Externally publishedYes


  • Junctional tachycardia
  • arrhythmia
  • streptococcal pharyngitis


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