Rheumatic fever shows various symptoms and signs, out of which sore throat is one of the symptoms. Only 35-60% of patients show the symptom of upper respiratory sore throat several weeks preceeding rheumatic fever. Many symptomatic individuals do not seek medical attention, go undiagnosed, or do not take the prescribed antibiotic for acute rheumatic fever prevention. Treatment with penicillin will reduce 80% of rheumatic fever risk. Solution Rheumatic fever shows various symptoms and signs, out of which sore throat is one of the symptoms. Only 35-60% of patients show the symptom of upper respiratory sore throat several weeks preceeding rheumatic fever. Many symptomatic individuals do not seek medical attention, go undiagnosed, or do not take the prescribed antibiotic for acute rheumatic fever prevention. Treatment with penicillin will reduce 80% of rheumatic fever risk..