Presentation
Colonial War Memorial Hospital, December 2005 to November 2007 Clinical presentation No. [mja.com.au]
When minor manifestations alone are present, the exclusion of other more likely causes of the clinical presentation is recommended before a diagnosis of an ARF recurrence is made (Class I, Level of Evidence C). [acc.org]
Gebremariam S, Moges T Long-Term Nonmalignant Disease Mortality in Subjects Exposed to Transmissible Agents Present in Animals Used for Food. [medicbind.com]
Case 1 A twelve year-old girl presented with a two week history of myalgia and general malaise. [omicsonline.org]
Review Topic QID: 106727 M1 Select Answer to see Preferred Response PREFERRED RESPONSE 2 (M1.CV.112) A 10-year-old male presents with his mother with multiple complaints. [medbullets.com]
Neurologic
- Aphasia
[…] ischemic neurologic deficit) (V12.54) RIND (Reversible ischemic neurological deficit) (V12.54) transient ischemic attack (TIA) (V12.54) 438.0 Cognitive deficits 438.1 Speech and language deficits 438.10 Speech and language deficit, unspecified 438.11 Aphasia [theodora.com]
Other signs include the following: Stiff neck Delirium Paralysis, hemiparesis, aphasia Conjunctival hemorrhage Pallor Gallops Rales Cardiac arrhythmia Pericardial rub Pleural friction rub Subacute infective endocarditis Approximately 3-15% of patients [intranet.tdmu.edu.ua]
Workup
Thuny et al have developed an algorithm for the workup of negative blood cultures. The first stage is to obtain serologies for Q fever and Bartonella. [intranet.tdmu.edu.ua]
Treatment
This is in contrast to the recommendation for azithromycin treatment of acute group A streptococcal infection. [nps.org.au]
Here we report 2 pediatric cases of MR and/or treatment failure in the treatment of GAS pharyngitis with the subsequent development of acute rheumatic fever. [pediatrics.aappublications.org]
Hospitalization for ARF/RHD Treatment of ARF Patients (n=572) and Hospitalization (Within 1 Year of RHD diagnosis) for RHD Treatment of RHD Patients (n=1248), NT, 1997 to 2013 Exposure Variables Hospitalization for ARF/RHD Treatment Hospitalization for [circ.ahajournals.org]
Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. [betterhealth.vic.gov.au]
Prognosis
Rheumatic Fever Prognosis Rheumatic fever will go resolve spontaneously within 12 weeks even if is not treated. With treatment, it can resolve within two weeks. [emedicinehealth.com]
Prognosis Rheumatic heart disease occurs in 30-45% of patients with acute RF [ 20 ]. Severe chronic valvular disease is associated with severe carditis and recurrent RF [ 21 ]. [patient.info]
Prognosis Rheumatic mitral valve disease is inconsistently reparable, and the long-term outcomes after surgical repair are not as good as for valve repair for mitral valve prolapse due to leaflet and chordal scarring. [emedicine.medscape.com]
Elevated in patients with valvular involvement, these antibodies are significantly reduced after surgical removal of inflamed valves and they correlate with poor prognosis [ 6 ]. [link.springer.com]
Fungal endocarditis has a poor prognosis. [intranet.tdmu.edu.ua]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology Streptococcus pyogenes (group A Streptococcus ) is the etiological agent that induces an autoimmune reaction that results in damage to the heart. This complication occurs several weeks after a pharyngeal infection with S pyogenes. [atsu.edu]
New observations on the etiology of aortic valve disease: a surgical pathologic study of 236 cases from 1990. Hum Pathol. 1993 Dec. 24(12):1330-8. [Medline]. Veinot JP. Pathology of inflammatory native valvular heart disease. [emedicine.medscape.com]
[…] ventricular septal defect (VSD), vegetations can be found on the right ventricular side of the VSD, on the tricuspid valve or where the jet impinges on the right ventricular wall Vegetations found in coarctation usually occur distal to the obstruction Etiology [pathologyoutlines.com]
Embolic stroke with focal neurologic deficits is the most common etiology. Other etiologies include intracerebral hemorrhage and multiple microabscesses. [intranet.tdmu.edu.ua]
Epidemiology
Epidemiologic implications: It is reasonable to consider individuals at low risk of ARF if they come from a setting or population with known low rates of ARF and RHD (Class IIa, Level of Evidence C). [acc.org]
Changes in the clinical and epidemiological features of group A streptococcal bacteraemia in Australia\u2019s Northern Territory. Trop Med Int Health 2015;20:40-7. Kim S, Lee NY. [nps.org.au]
This review summarizes these findings and provides a clinical perspective on ARF/RHD pathogenesis, epidemiology, diagnosis, prevention, management and control. [link.springer.com]
[…] descriptions of the clinical profile of ARF in less developed nations. 3, 4 Likewise, there are few descriptions of the clinical presentation of rheumatic heart disease (RHD) in developing countries. 5 We therefore designed a study to characterise the clinical epidemiology [mja.com.au]
Reason for surveillance To monitor the epidemiology of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in New South Wales. [health.nsw.gov.au]
Pathophysiology
The pathophysiological and clinical sequelae of these valvular lesions are discussed on their own pages and are not unique to this particular etiopathogenesis. [pathwaymedicine.org]
Pathophysiology Causative agent Group A Beta-hemolytic streptococci Untreated strep throat Rheumatic fever All layers of the heart and the mitral valve become inflammed Vegetation forms Valvular Regurgitation and stenosis Heart Failure 12. V. [slideshare.net]
[…] defibrillator, IVDA (right sided endocarditis), indwelling catheter Congenital heart disease: small ventricular septal defect, bicuspid aortic valve, coarctation of aorta, patent ductus arteriosus Uncommon with large VSD, mitral stenosis, atrial septal defect Pathophysiology [pathologyoutlines.com]
Essentials of pathophysiology: concepts of altered health states. Hagerstown, MD: Lippincott Williams & Wilkins. [en.wikipedia.org]
Prevention
Different Preventions of RHD Type of Prevention Aim (What?) Modality (How?) [circ.ahajournals.org]
[…] on preventative action, diagnosis and management of acute rheumatic fever and rheumatic heart disease, and should be considered the difinitive source of information to guide all aspects of RHD management, prevention and control across Australia. [healthdirect.gov.au]
Secondary prevention is the key focus of most control strategies, due to its proven efficacy, cost-effectiveness, and the challenges of primordial and primary prevention. [link.springer.com]
While the focus in preventing RHD has predominantly been on preventing infection, there has been little attention on controlling the inflammatory responses which is the main driving force. [omicsonline.org]
[…] by · Published September 2, 2011 · Updated July 3, 2015 We’ve discussed Strep Pharyngitis (12/3/2010) and how in treating it we are primarily focusing on preventing Rheumatic Heart Disease. [pedemmorsels.com]