1st April 2022

Patient with aching, hot joints from The Gambia

You see a 13-year-old girl who recently emigrated from The Gambia and presents with a sore throat and a fever. She complains of aching, hot joints and is making seemingly uncontrolled and random movements with her arms. You do an ECG and you see that she is in first-degree heart block and while you put the probes on your notice an erythematous rash on her trunk.  What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.