Rheumatic Heart Disease: Difference between revisions

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'''Rheumatic fever''' is an inflammatory disease that occurs following a Streptococcus pyogenes infection, such as streptococcal pharyngitis or scarlet fever. Believed to be caused by antibody cross-reactivity that can involve the heart, joints, skin, and brain,[1] the illness typically develops two to three weeks after a streptococcal infection. Acute rheumatic fever commonly appears in children between the ages of 6 and 15, with only 20% of first-time attacks occurring in adults.[1] The illness is so named because of its similarity in presentation to rheumatism.[2]
[[Image:Streptococcus pyogenes 01.jpg|right|thumb|300px|Streptococcus pyogenes bacteria, Pappenheim's stain.]]
 
'''Rheumatic Fever''' is an inflammatory disease that occurs following a Streptococcus pyogenes infection, such as streptococcal pharyngitis or scarlet fever. Believed to be caused by antibody cross-reactivity that can involve the heart, joints, skin, and brain,[1] the illness typically develops two to three weeks after a streptococcal infection. Acute rheumatic fever commonly appears in children between the ages of 6 and 15, with only 20% of first-time attacks occurring in adults.[1] The illness is so named because of its similarity in presentation to rheumatism.[2]


==Diagnosis==
==Diagnosis==
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===Minor criteria===
===Minor criteria===
*Fever of 38.2–38.9 °C (101–102 °F)
*Fever of 38.2–38.9 °C (101–102 °F)
*'''Arthralgia:''' Joint pain without swelling (Cannot be included if polyarthritis is present as a major symptom)
*Arthralgia: Joint pain without swelling (Cannot be included if polyarthritis is present as a major symptom)
*Raised erythrocyte sedimentation rate or C reactive protein
*Raised erythrocyte sedimentation rate or C reactive protein
*Leukocytosis
*Leukocytosis
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