An 11-year-old girl presented with a rapid onset of
asymmetric chorea movements. Haloperidol was effective in controlling
the chorea, and antibiotics were given for secondary prevention.
Sydenham’s chorea is a manifestation of rheumatic fever
and occurs after a throat infection by group A streptococci. The disease
consists of a combination of choreic movements, hypotonia
and emotional unstability. The clinical course can be quite diverse.
Improvement usually occurs over a period of several months,
although a significant proportion of patients show very slow improvement.
Treatment options are discusse