Rheumatic heart disease is still a leading cause of acquired heart disease in children, in developing countries. Rheumatic pneumonia is a well-described burt very rare manifestation of rheumatic fever, that is generally fatal. Even though necropsy confirmation is ideally required, with clinical features of consolidation and absence of features of cardiac failure one can think the possibility of rheumatic pneumonia.

Keywords: Rheumatic fever; Rheumatic pneumonia; Cardiac failure; Complication