- 1 On being a patient
- 2 Modern medicine: foundations, achievements, and limitations
- 3 Global patterns of disease and medical practice
- 4 Cell biology
- 5 Immunological mechanisms
- 6 Principles of clinical oncology
- 7 Infection
- 8 Sexually transmitted diseases and sexual health
- 9 Chemical and physical injuries and environmental factors and disease
- 10 Clinical pharmacology
- 11 Nutrition
- 12 Metabolic disorders
- 13 Endocrine disorders
- 14 Medical disorders in pregnancy
- 15 Gastroenterological disorders
- 16 Cardiovascular disorders
- 16.1 Structure and function
- 16.2 Clinical presentation of heart disease
- 16.3 Clinical investigation of cardiac disorders
- 16.4 Cardiac arrhythmias
- 16.5 Cardiac failure
- 16.6 Heart valve disease
- 16.7 Diseases of heart muscle
- 16.8 Pericardial disease
- 16.9 Cardiac involvement in infectious disease
- 16.9.1 Acute rheumatic fever
- 16.9.2 Infective endocarditis
- 16.9.3 Cardiac disease in HIV infection
- 16.9.4 Cardiovascular syphilis
- 16.10 Tumours of the heart
- 16.11 Cardiac involvement in genetic disease
- 16.12 Congenital heart disease in the adult
- 16.13 Coronary heart disease
- 16.14 Diseases of the arteries
- 16.15 The pulmonary circulation
- 16.16 Venous thromboembolism
- 16.17 Hypertension
- 16.18 Chronic peripheral oedema and lymphoedema
- 16.19 Idiopathic oedema of women
- 17 Critical care medicine
- 18 Respiratory disorders
- 19 Rheumatological disorders
- 20 Disorders of the skeleton
- 21 Disorders of the kidney and urinary tract
- 22 Disorders of the blood
- 23 Disorders of the skin
- 24 Neurological disorders
- 25 The eye
- 26 Psychiatry and drug related problems
- 27 Forensic medicine
- 28 Sports medicine
- 29 Geratology
- 30 Pain
- 31 Palliative medicine
- 32 Biochemistry in medicine
- 33 Acute medicine
Acute rheumatic fever
- Chapter:
- Acute rheumatic fever
- Author(s):
Jonathan R. Carapetis
- DOI:
- 10.1093/med/9780199204854.003.160901_update_001
Update:
Diagnosis – 2014 revision of Jones criteria including (1) requirement for fever >38o, rather than >38.5o, in moderate-high risk populations; (2) echocardiographic features that allow the diagnosis of acute rheumatic carditis even in the absence of a significant cardiac murmur. Management – use of corticosteroids in severe or refractory chorea.
Acute rheumatic fever is an immunologically mediated multisystem disease induced by recent infection with group A streptococcus. About 5% of people have the potential to develop acute rheumatic fever after infection by a strain of streptococcus with propensity to cause the condition. Most cases (97%) occur in low-income and some middle-income countries, with indigenous populations in some affluent countries also affected. Children aged 5 to 15 years are most commonly affected, and rheumatic heart disease remains the most common acquired heart disease of childhood in the world....
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- 1 On being a patient
- 2 Modern medicine: foundations, achievements, and limitations
- 3 Global patterns of disease and medical practice
- 4 Cell biology
- 5 Immunological mechanisms
- 6 Principles of clinical oncology
- 7 Infection
- 8 Sexually transmitted diseases and sexual health
- 9 Chemical and physical injuries and environmental factors and disease
- 10 Clinical pharmacology
- 11 Nutrition
- 12 Metabolic disorders
- 13 Endocrine disorders
- 14 Medical disorders in pregnancy
- 15 Gastroenterological disorders
- 16 Cardiovascular disorders
- 16.1 Structure and function
- 16.2 Clinical presentation of heart disease
- 16.3 Clinical investigation of cardiac disorders
- 16.4 Cardiac arrhythmias
- 16.5 Cardiac failure
- 16.6 Heart valve disease
- 16.7 Diseases of heart muscle
- 16.8 Pericardial disease
- 16.9 Cardiac involvement in infectious disease
- 16.9.1 Acute rheumatic fever
- 16.9.2 Infective endocarditis
- 16.9.3 Cardiac disease in HIV infection
- 16.9.4 Cardiovascular syphilis
- 16.10 Tumours of the heart
- 16.11 Cardiac involvement in genetic disease
- 16.12 Congenital heart disease in the adult
- 16.13 Coronary heart disease
- 16.14 Diseases of the arteries
- 16.15 The pulmonary circulation
- 16.16 Venous thromboembolism
- 16.17 Hypertension
- 16.18 Chronic peripheral oedema and lymphoedema
- 16.19 Idiopathic oedema of women
- 17 Critical care medicine
- 18 Respiratory disorders
- 19 Rheumatological disorders
- 20 Disorders of the skeleton
- 21 Disorders of the kidney and urinary tract
- 22 Disorders of the blood
- 23 Disorders of the skin
- 24 Neurological disorders
- 25 The eye
- 26 Psychiatry and drug related problems
- 27 Forensic medicine
- 28 Sports medicine
- 29 Geratology
- 30 Pain
- 31 Palliative medicine
- 32 Biochemistry in medicine
- 33 Acute medicine