Thus, the myocardium of patients who had expired from cyanotic congenital heart disease and acute rheumatic carditis is jeopardized by ischemia, with metal contents similar to the border areas in myocardial infarction. [ncbi.nlm.nih.gov]

Austin Flint's murmur is from aortic regurgitation as the vibration of the anterior leaflet of the mitral valve is buffeted simultaneously by the blood jets from the left atrium and the aorta. [patient.info]

Common symptoms of rheumatic fever include: small, painless nodules under the skin chest pain rapid fluttering or pounding chest palpitations lethargy or fatigue nosebleeds stomach pain painful or sore joints in the wrists, elbows, knees, and ankles pain [healthline.com]

They include: a high temperature of 38C or above (fever) redness, pain and swelling of your joints (arthritis) – usually ankles, knees, wrists or elbows pain in your chest, breathlessness and a fast heart rate jerky, uncontrollable movements in your hands [nhs.uk]

Rheumatic fever signs and symptoms — which result from inflammation in the heart, joints, skin or central nervous system — can include: Fever Painful and tender joints — most often in the knees, ankles, elbows and wrists Pain in one joint that migrates [mayoclinic.org]

laughter If your child has a fever, they might require immediate care. [healthline.com]

PANDAS It has been proposed that an autoimmune response after a streptococcal infection may result in obsessive-compulsive disorder or tics in some children. [aafp.org]