Youngest patient with Sydenham's chorea: a case report.

Rheumatic fever is common in India and the incidence has not shown the declining trends seen in the developed countries. Two-thirds of children with rheumatic fever are school aged (5-15 years of age). However, rheumatic fever does occur in children < 5 years of age and it is believed that younger children are more likely to have carditis and arthritis and less likely to have chorea. A case of rheumatic chorea occurring in a 3 4/12-year-old boy is reported. The patient was treated with penicillin, prednisolone and sodium valproate and responded favourably.