Rheumatic Fever

Alternate Name:

Test:

S.ASOT (RT), S.CRP (H), ESR (H), WCC (H), Hb (L or N), throat swab M/C/S (4, chest X-ray (N or AB), echocardiography (AB or N)

Sign:

Choreiform movements, subcutaneous nodules, erythema marginatum, arthritis, pericardial fric­tion rub, cardiomegaly, hepatomegaly

Dd:

Encephalitis, rheumatoid arthritis, osteomyelitis,endocarditis, TB, polio, SLE, meningitis, leukaemias, congenital heart disease, joint trau­ma, drug reaction

Phys:

Initiated by group A haemolytic streptococcal...in­fection. Frequently causes cardiac valvular defor­mities. Primarily a clinical diagnosis with major criteria being carditis, erythema, nodules, chorea, arthritis and fever. Minor criteria include fever, ar­thralgia, high ESR and/or CRP