rheumatic heart fever

Question 1

definition

Answer 1

Acute rheumatic fever is an autoimmune disease most commonly occurring after a group A streptococcal throat infection (streptococcus pyogenes infection) - tonsilitis

Question 2

whats seen on histology

Answer 2

Aschoff bodies

Question 3

presentation

Answer 3

• fever and joint pain
• Recent sore throat, chorea (jerk, irregular movements) and polyarthralgia (pain in several joints)
• erythema marginatum - weird rash

Question 4

management

Answer 4

• antibiotics - oral penicillin
• NSAIDs
• commonly associated with HF

Question 5

criteria for diagnosis

Answer 5

major - JONES
- joint involvement
- O looks like a heart
- nodules, subcutaneous
- erythema marginum
- sydenham chorea

minor - CAFE PAL
- CRP INCREASED
- arthralgia
- fever
- elevated ESR
- prolongued PR interval
- anamnesis of rheymatism
- leukocytosis