Rheumatic fever
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Rheumatic fever is caused by a prior Group A streptococcal infection and causes inflammation in the heart, joints, brain, and skin. It most commonly affects children between 5-15 years old. The pathogenesis involves antibodies produced against streptococcal antigens cross-reacting with human tissues. Diagnosis is based on revised Jones criteria from 2015 including migratory arthritis, carditis, chorea, erythema marginatum, and subcutaneous nodules. Treatment involves bed rest, antibiotics to eradicate the streptococcal infection, aspirin or other anti-inflammatory drugs, and management of any heart failure. Prevention relies on promptly treating streptococcal infections and long-term antibiotics to prevent recurrences.
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Rheumatic fever 2018
Define rheumatic fever.
what are the main causes of rheumatic fever.
List the clinical finding of rheumatic fever.
To list and identify the most commonly used laboratory tests to detect the rheumatic fever.
How to treat rheumatic fever .
To list some of the procedures that are used for the prevention of the rheumatic fever .
Rheumatic fever dr.aheed
Rheumatic fever is an autoimmune disease that can develop after a streptococcal throat infection. It causes inflammation in connective tissues, especially the heart, joints, blood vessels, and skin. The inflammation is thought to be due to an immune cross-reaction between antigens in the streptococcal bacteria and human tissues. Symptoms vary depending on which tissues are affected but can include heart valve damage, arthritis, neurological disorders like chorea. Treatment involves antibiotics, salicylates like aspirin, and steroids depending on symptoms. Long term prevention requires ongoing antibiotics to prevent future streptococcal infections from triggering recurrences of rheumatic fever.
Rheumatic Fever
Rheumatic fever is an inflammatory disease that can occur after a streptococcal throat infection. It involves the heart, joints, skin and connective tissue. The presentation includes fever, arthritis and heart complications like pancarditis. Diagnosis is based on clinical criteria after excluding other conditions. Prevention relies on prompt antibiotic treatment of streptococcal infections. For those with a history of rheumatic fever, long-term antibiotic prophylaxis is needed to prevent recurrences that can further damage the heart.
Rheumatic fever
Rheumatic fever is an inflammatory disease that occurs as a delayed response to a streptococcal infection. It commonly affects school-aged children and causes inflammation in the heart, joints, nervous system and other tissues. While rates have declined in developed nations, it remains an issue in developing countries. Medical management focuses on eradicating the infection with antibiotics, managing cardiac symptoms, and promoting comfort. Nursing care involves monitoring for symptoms, administering medications, maintaining nutrition and hydration, managing pain and activity levels.
Rheumatic fever
Rheumatic fever is an autoimmune disease that can occur as a result of a streptococcal throat infection. It affects multiple body systems but commonly involves the heart, joints, and brain. Symptoms may include heart inflammation (carditis), painful and migratory swollen joints (arthritis), jerky involuntary movements (chorea), and others. The disease is caused by an abnormal immune response that causes antibodies produced against streptococcal bacteria to also attack human tissues. Treatment involves bed rest, antibiotics to treat the initial infection, and anti-inflammatory drugs. Recurrences of the disease can be prevented with long-term antibiotic prophylaxis but cardiac damage may persist long-term in the form of rheumatic heart disease.
Rheumatic fever clinical features and diagnosis
This document provides information on rheumatic fever, including its:
1) Historical background, epidemiology, pathogenesis, pathology, and clinical features such as polyarthritis, pancarditis, chorea, and subcutaneous nodules.
2) Methods of diagnosis including evidence of preceding streptococcal infection through throat culture or elevated antibody titers, as well as detecting rheumatic activity with elevated inflammatory markers.
3) The role of echocardiography in diagnosis and its increased sensitivity over clinical exam alone.
Rheumatic Heart Disease
Rheumatic heart disease is caused by rheumatic fever, which is a sequela of strep throat infections. It is a major cause of mitral valve insufficiency and stenosis globally, with 15 million cases worldwide and over 200,000 deaths in 2008. In India, it commonly affects children aged 5-15, with a prevalence of 5-7 cases per 1,000 children. The severity of valve damage depends on factors like the number of previous rheumatic fever attacks, time between onset and treatment, and sex. Prevention involves treating strep throat infections aggressively with benzathine penicillin injections over multiple years.
ACUTE RHEUMATIC FEVER IN INDIA
RF is an autoimmune response triggered by Group A streptococcal (GAS) pharyngitis. The molecular mimicry between antigens on GAS and host tissues can lead to cross-reactive antibodies that attack the heart, joints, brain, and skin, causing inflammation. Repeated episodes can lead to rheumatic heart disease (RHD). The risk is determined by interactions between the GAS virulence factors, host genetic susceptibility, and socioeconomic environment. Countries with comprehensive prevention programs have seen declines in RF, while it remains highly prevalent in developing nations with inadequate access to healthcare.
Recommended
Rheumatic fever 2018
Define rheumatic fever.
what are the main causes of rheumatic fever.
List the clinical finding of rheumatic fever.
To list and identify the most commonly used laboratory tests to detect the rheumatic fever.
How to treat rheumatic fever .
To list some of the procedures that are used for the prevention of the rheumatic fever .
Rheumatic fever dr.aheed
Rheumatic fever is an autoimmune disease that can develop after a streptococcal throat infection. It causes inflammation in connective tissues, especially the heart, joints, blood vessels, and skin. The inflammation is thought to be due to an immune cross-reaction between antigens in the streptococcal bacteria and human tissues. Symptoms vary depending on which tissues are affected but can include heart valve damage, arthritis, neurological disorders like chorea. Treatment involves antibiotics, salicylates like aspirin, and steroids depending on symptoms. Long term prevention requires ongoing antibiotics to prevent future streptococcal infections from triggering recurrences of rheumatic fever.
Rheumatic Fever
Rheumatic fever is an inflammatory disease that can occur after a streptococcal throat infection. It involves the heart, joints, skin and connective tissue. The presentation includes fever, arthritis and heart complications like pancarditis. Diagnosis is based on clinical criteria after excluding other conditions. Prevention relies on prompt antibiotic treatment of streptococcal infections. For those with a history of rheumatic fever, long-term antibiotic prophylaxis is needed to prevent recurrences that can further damage the heart.
Rheumatic fever
Rheumatic fever is an inflammatory disease that occurs as a delayed response to a streptococcal infection. It commonly affects school-aged children and causes inflammation in the heart, joints, nervous system and other tissues. While rates have declined in developed nations, it remains an issue in developing countries. Medical management focuses on eradicating the infection with antibiotics, managing cardiac symptoms, and promoting comfort. Nursing care involves monitoring for symptoms, administering medications, maintaining nutrition and hydration, managing pain and activity levels.
Rheumatic fever
Rheumatic fever is an autoimmune disease that can occur as a result of a streptococcal throat infection. It affects multiple body systems but commonly involves the heart, joints, and brain. Symptoms may include heart inflammation (carditis), painful and migratory swollen joints (arthritis), jerky involuntary movements (chorea), and others. The disease is caused by an abnormal immune response that causes antibodies produced against streptococcal bacteria to also attack human tissues. Treatment involves bed rest, antibiotics to treat the initial infection, and anti-inflammatory drugs. Recurrences of the disease can be prevented with long-term antibiotic prophylaxis but cardiac damage may persist long-term in the form of rheumatic heart disease.
Rheumatic fever clinical features and diagnosis
This document provides information on rheumatic fever, including its:
1) Historical background, epidemiology, pathogenesis, pathology, and clinical features such as polyarthritis, pancarditis, chorea, and subcutaneous nodules.
2) Methods of diagnosis including evidence of preceding streptococcal infection through throat culture or elevated antibody titers, as well as detecting rheumatic activity with elevated inflammatory markers.
3) The role of echocardiography in diagnosis and its increased sensitivity over clinical exam alone.
Rheumatic Heart Disease
Rheumatic heart disease is caused by rheumatic fever, which is a sequela of strep throat infections. It is a major cause of mitral valve insufficiency and stenosis globally, with 15 million cases worldwide and over 200,000 deaths in 2008. In India, it commonly affects children aged 5-15, with a prevalence of 5-7 cases per 1,000 children. The severity of valve damage depends on factors like the number of previous rheumatic fever attacks, time between onset and treatment, and sex. Prevention involves treating strep throat infections aggressively with benzathine penicillin injections over multiple years.
ACUTE RHEUMATIC FEVER IN INDIA
RF is an autoimmune response triggered by Group A streptococcal (GAS) pharyngitis. The molecular mimicry between antigens on GAS and host tissues can lead to cross-reactive antibodies that attack the heart, joints, brain, and skin, causing inflammation. Repeated episodes can lead to rheumatic heart disease (RHD). The risk is determined by interactions between the GAS virulence factors, host genetic susceptibility, and socioeconomic environment. Countries with comprehensive prevention programs have seen declines in RF, while it remains highly prevalent in developing nations with inadequate access to healthcare.
Ms mr rhd
This document discusses rheumatic heart disease, which is permanent heart valve damage caused by one or more attacks of acute rheumatic fever following a streptococcal throat infection. It covers the epidemiology, pathogenesis, clinical manifestations, diagnosis, and management of rheumatic heart disease. The pathogenesis involves an autoimmune response triggered by the throat infection that causes inflammation of the heart valves. Diagnosis is based on modified Jones criteria and physical exam may reveal murmurs from valve damage. Rheumatic heart disease remains an important cause of morbidity in developing countries.
acute rheumatic fever
1) The document discusses the history and latest developments in rheumatic fever, including the evolution of diagnostic criteria from Jones in 1944 to the 2015 AHA statement.
2) Key topics covered include subclinical carditis, the role of echocardiography in diagnosis, revisions to arthritis criteria, and implications of epidemiology for diagnostic approaches.
3) The 2015 AHA statement recommends echocardiography for all suspected rheumatic fever cases and considers monoarthritis a possible manifestation in high-risk populations.
Acute rheumatic fever - Dr. Akif Baig
An acute illness caused by an autoimmune response to infection with group A Streptococcus, leading to a range of possible symptoms and signs affecting any or all of heart, joints, brain, skin and subcutaneous tissues
Rheumatic fever
Rheumatic fever is an inflammatory disease that occurs as a delayed reaction to a Group A streptococcal throat infection. It most commonly affects children between 5-18 years old. The main manifestations include arthritis, carditis, chorea, and less commonly subcutaneous nodules and erythema marginatum. It is diagnosed using the revised Jones criteria which requires evidence of a preceding streptococcal infection and either two major manifestations or one major and two minor manifestations. Treatment involves primary prevention through antibiotic treatment of streptococcal infections, anti-inflammatory treatment such as aspirin for arthritis and steroids for carditis, supportive management of complications, and long-term secondary prevention through antibiotic prophylaxis.
Rheumatic Heart Disease
Dr. Animesh Gupta presents on rheumatic heart disease (RHD). RHD is caused by rheumatic fever, which results from a streptococcal throat infection. It commonly affects children aged 5-15 years in India, where the incidence is much higher than developed countries. Clinical features of RHD include fever, arthritis, heart valve damage, and nodules below the skin. Diagnosis is based on the revised Jones criteria. Prevention involves treating streptococcal infections aggressively with antibiotics to prevent initial and recurrent rheumatic fever attacks, which can lead to permanent heart damage if left untreated.
Rheumatic fever
Rheumatic fever is an inflammatory disease that can occur as a result of a streptococcal infection. It is caused by an autoimmune response where antibodies created to fight the bacterial infection mistakenly attack healthy tissues in the body, especially the heart valves, joints, skin, and brain. Symptoms include heart valve damage, arthritis, abnormal skin rashes, and involuntary movements. Treatment involves antibiotics to prevent recurrent streptococcal infections, anti-inflammatory drugs, and lifelong prophylaxis to prevent future episodes of rheumatic fever.
Rheumatic fever & acute rheumatic heart disease Rheumatic fever & acute rhe...
Rheumatic fever is caused by an autoimmune response following a Group A streptococcal throat infection. It can affect the heart, joints, brain and skin. Heart involvement occurs in 50% of cases and can lead to permanent valve damage over years. Diagnosis is based on Jones criteria of evidence of prior streptococcal infection and major/minor clinical manifestations. Treatment involves bed rest, antibiotics, anti-inflammatories and secondary prophylaxis with antibiotics to prevent recurrence. Recurrence risks are higher if the initial attack involved heart inflammation. Long term follow up is needed due to risk of developing chronic rheumatic heart disease.
Acute rheumatic fever
This document provides information on acute rheumatic fever (ARF), including its definition, incidence, pathophysiology, diagnosis, management, and secondary prevention. ARF is an autoimmune response to Group A streptococcal infection that causes inflammation of the heart, joints, brain and skin. It predominantly affects school-aged children and those in low socioeconomic conditions. Accurate diagnosis is important to avoid over- or under-treatment. Management involves treating streptococcal infections, suppressing inflammation, and long-term antibiotic prophylaxis to prevent recurrence.
Rheumatic Fever
Rheumatic fever is an inflammatory disease that occurs 1-4 weeks after a streptococcal throat infection. It affects the heart, joints, and skin. Antibodies produced against the streptococcal bacteria can cross-react with tissues in the heart and elsewhere. Major symptoms include polyarthritis, carditis, subcutaneous nodules, erythema marginatum, and Sydenham's chorea. Treatment involves antibiotics to treat the infection, aspirin or steroids for inflammation, and long-term antibiotic prophylaxis to prevent recurrence. Complications can include heart failure, arrhythmias, and valvular disorders if not properly treated.
Rheumatic heart disease: Acute Rheumatic Fever
This document summarizes rheumatic heart disease and acute rheumatic fever. It begins by introducing ARF as an autoimmune response to strep throat that causes inflammation in multiple organs including the heart. This can lead to rheumatic heart disease over time. It then covers the pathophysiology, diagnostic criteria, manifestations involving the heart, joints, skin and neurological system. Secondary prevention through antibiotic prophylaxis is discussed. Chronic rheumatic heart disease and its effects on the heart valves are also summarized.
ACUTE RHEUMATIC FEVER IN THE PAST AND PRESENT
Rheumatic fever is an inflammatory disease that can affect the heart, joints, brain and skin. It is caused by a prior untreated streptococcal throat infection. The disease was once very common but is now rare in developed countries. Symptoms include migratory arthritis, heart inflammation (carditis), abnormal movements (Sydenham's chorea), and subcutaneous nodules. Carditis is the most serious manifestation as it can lead to long-term heart valve damage and chronic rheumatic heart disease. Echocardiography plays an important role in the diagnosis of carditis. Prompt treatment of streptococcal infections and ongoing prevention medication can now largely prevent recurrent rheumatic fever in susceptible individuals.
Rheumatic fever
Rheumatic fever is an inflammatory disease that can develop after a streptococcal infection such as strep throat. It results from an immune response to certain streptococcus bacteria. The disease affects multiple systems like the heart, joints, skin, and brain. Symptoms include painful migratory arthritis, inflammation of the heart valves, involuntary movements known as Sydenham's chorea, and transient rashes. Diagnosis involves confirming a prior streptococcal infection and meeting criteria for clinical manifestations. Treatment focuses on antibiotics for streptococcal infections and anti-inflammatories or other drugs depending on the organ(s) involved.
Acute Rheumatic Fever
Acute rheumatic fever is a systemic illness that occurs 2-4 weeks after a Group A streptococcal throat infection. It is characterized by fever, polyarthritis affecting large joints symmetrically, and inflammation of the heart (carditis). Without treatment, it can lead to long-term heart damage including chronic rheumatic heart disease. It is diagnosed based on clinical signs and symptoms as well as lab tests showing inflammation. Treatment involves bed rest, aspirin or corticosteroids to reduce joint/heart inflammation, and long-term penicillin to prevent recurrence of streptococcal infection and subsequent rheumatic fever attacks.
Acute rheumatic fever
Rheumatic fever is an inflammatory disease that occurs following a streptococcal throat infection. It commonly affects the heart, joints, brain and skin. It is most prevalent in developing countries and accounts for a significant percentage of cardiovascular disease hospital admissions. The disease is caused by an autoimmune response triggered by streptococcal infection. Symptoms vary but may include arthritis, carditis, chorea and skin nodules. Treatment involves antibiotics for streptococcal infection and anti-inflammatory drugs. Recurrence can be prevented through long-term antibiotic prophylaxis. Rheumatic heart disease is a serious complication if carditis damages the heart valves.
Acute rheumatic fever
Acute rheumatic fever is a multisystem disease caused by an autoimmune reaction to a Group A streptococcal infection. It commonly affects children between 5-14 years old in developing countries. Symptoms include migratory polyarthritis, carditis, chorea, and skin manifestations. Diagnosis is based on clinical features and evidence of a preceding streptococcal infection. Treatment involves antibiotics to prevent recurrence and symptom relief. Ongoing antibiotic prophylaxis is also needed long-term to prevent recurrence, especially in those who develop cardiac involvement.
Acute rheumatic fever in Children
1) Rheumatic fever is an autoimmune disease that can occur as a delayed complication of untreated Group A streptococcal pharyngitis, with a latent period of 1-3 weeks.
2) It commonly affects children between 5-15 years of age and can involve the heart, joints, skin, and brain. The heart is involved in approximately 50-60% of cases (carditis).
3) Treatment involves bed rest, antibiotics to eradicate streptococci, anti-inflammatory drugs like aspirin for arthritis and carditis, corticosteroids for moderate to severe carditis, and long-term antibiotic prophylaxis to prevent recurrences.
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in ...
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography A Scientific Statement From the American Heart Association
Rheumatic heart disease ppt
Rheumatic heart disease is a major global health problem caused by untreated streptococcal infections like strep throat. It often leads to narrowing or stiffening of the heart valves. In India, the prevalence is about 6 per 1000 children aged 5-15, and it is the most common heart disease, accounting for 20-30% of cardiovascular hospital admissions. Nurses play an important role in prevention through health education, screening schoolchildren, and ensuring proper treatment of streptococcal infections to prevent recurrent rheumatic fever and further heart damage.
Rheumatic Fever
Rheumatic fever is quite common in developing countries and it has well known cardiac complications. So it's very important to know rheumatic fever, hopefully, this presentation will fill the needs. If you think it's helpful then share it.
15- GAS and ARF AND .ppt
Group A strep can cause pharyngitis, which in rare cases can lead to acute rheumatic fever and rheumatic heart disease. Rheumatic fever is an autoimmune response following a strep throat infection, causing inflammation in joints, heart valves, and other tissues. It affects children primarily in developing countries. Prompt diagnosis and treatment of strep throat is key to preventing rheumatic fever. Rheumatic heart disease is permanent heart damage from repeated rheumatic fever attacks and is the most severe consequence, with symptoms depending on the valves affected. Control programs aim to prevent rheumatic fever through strep throat screening, treatment and public awareness.
acute rheumatic fever in pediatrics .pptx
This document discusses acute rheumatic fever, which is an autoimmune response that can occur 2-3 weeks after a streptococcal throat infection. It causes inflammation in multiple body systems like the heart, joints, skin and brain. If left untreated, it can lead to rheumatic heart disease. The document covers the causative agent, host susceptibility factors, pathogenesis, clinical features of acute rheumatic fever and its long term complications like rheumatic heart disease. It also discusses the treatment approach which involves antibiotics to prevent recurrence as well as medications to suppress symptoms.
Rheumatic fever in pediatrics
Rheumatic fever is a non-suppurative sequelae to group A streptococcal pharyngitis that causes inflammation in connective tissues like heart, blood vessels, joints, and brain. It is most common in children ages 5-15 from developing countries. The disease is caused by an abnormal immune response 1-3 weeks after streptococcal infection. Symptoms include migratory arthritis, heart valve damage, chorea, and subcutaneous nodules. Diagnosis is based on modified Jones criteria. Treatment involves antibiotics for streptococcal infection, aspirin or steroids for inflammation, and lifelong antibiotic prophylaxis to prevent recurrence, especially if carditis is present. Prognosis depends on age and whether
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Ms mr rhd
This document discusses rheumatic heart disease, which is permanent heart valve damage caused by one or more attacks of acute rheumatic fever following a streptococcal throat infection. It covers the epidemiology, pathogenesis, clinical manifestations, diagnosis, and management of rheumatic heart disease. The pathogenesis involves an autoimmune response triggered by the throat infection that causes inflammation of the heart valves. Diagnosis is based on modified Jones criteria and physical exam may reveal murmurs from valve damage. Rheumatic heart disease remains an important cause of morbidity in developing countries.
acute rheumatic fever
1) The document discusses the history and latest developments in rheumatic fever, including the evolution of diagnostic criteria from Jones in 1944 to the 2015 AHA statement.
2) Key topics covered include subclinical carditis, the role of echocardiography in diagnosis, revisions to arthritis criteria, and implications of epidemiology for diagnostic approaches.
3) The 2015 AHA statement recommends echocardiography for all suspected rheumatic fever cases and considers monoarthritis a possible manifestation in high-risk populations.
Acute rheumatic fever - Dr. Akif Baig
An acute illness caused by an autoimmune response to infection with group A Streptococcus, leading to a range of possible symptoms and signs affecting any or all of heart, joints, brain, skin and subcutaneous tissues
Rheumatic fever
Rheumatic fever is an inflammatory disease that occurs as a delayed reaction to a Group A streptococcal throat infection. It most commonly affects children between 5-18 years old. The main manifestations include arthritis, carditis, chorea, and less commonly subcutaneous nodules and erythema marginatum. It is diagnosed using the revised Jones criteria which requires evidence of a preceding streptococcal infection and either two major manifestations or one major and two minor manifestations. Treatment involves primary prevention through antibiotic treatment of streptococcal infections, anti-inflammatory treatment such as aspirin for arthritis and steroids for carditis, supportive management of complications, and long-term secondary prevention through antibiotic prophylaxis.
Rheumatic Heart Disease
Dr. Animesh Gupta presents on rheumatic heart disease (RHD). RHD is caused by rheumatic fever, which results from a streptococcal throat infection. It commonly affects children aged 5-15 years in India, where the incidence is much higher than developed countries. Clinical features of RHD include fever, arthritis, heart valve damage, and nodules below the skin. Diagnosis is based on the revised Jones criteria. Prevention involves treating streptococcal infections aggressively with antibiotics to prevent initial and recurrent rheumatic fever attacks, which can lead to permanent heart damage if left untreated.
Rheumatic fever
Rheumatic fever is an inflammatory disease that can occur as a result of a streptococcal infection. It is caused by an autoimmune response where antibodies created to fight the bacterial infection mistakenly attack healthy tissues in the body, especially the heart valves, joints, skin, and brain. Symptoms include heart valve damage, arthritis, abnormal skin rashes, and involuntary movements. Treatment involves antibiotics to prevent recurrent streptococcal infections, anti-inflammatory drugs, and lifelong prophylaxis to prevent future episodes of rheumatic fever.
Rheumatic fever & acute rheumatic heart disease Rheumatic fever & acute rhe...
Rheumatic fever is caused by an autoimmune response following a Group A streptococcal throat infection. It can affect the heart, joints, brain and skin. Heart involvement occurs in 50% of cases and can lead to permanent valve damage over years. Diagnosis is based on Jones criteria of evidence of prior streptococcal infection and major/minor clinical manifestations. Treatment involves bed rest, antibiotics, anti-inflammatories and secondary prophylaxis with antibiotics to prevent recurrence. Recurrence risks are higher if the initial attack involved heart inflammation. Long term follow up is needed due to risk of developing chronic rheumatic heart disease.
Acute rheumatic fever
This document provides information on acute rheumatic fever (ARF), including its definition, incidence, pathophysiology, diagnosis, management, and secondary prevention. ARF is an autoimmune response to Group A streptococcal infection that causes inflammation of the heart, joints, brain and skin. It predominantly affects school-aged children and those in low socioeconomic conditions. Accurate diagnosis is important to avoid over- or under-treatment. Management involves treating streptococcal infections, suppressing inflammation, and long-term antibiotic prophylaxis to prevent recurrence.
Rheumatic Fever
Rheumatic fever is an inflammatory disease that occurs 1-4 weeks after a streptococcal throat infection. It affects the heart, joints, and skin. Antibodies produced against the streptococcal bacteria can cross-react with tissues in the heart and elsewhere. Major symptoms include polyarthritis, carditis, subcutaneous nodules, erythema marginatum, and Sydenham's chorea. Treatment involves antibiotics to treat the infection, aspirin or steroids for inflammation, and long-term antibiotic prophylaxis to prevent recurrence. Complications can include heart failure, arrhythmias, and valvular disorders if not properly treated.
Rheumatic heart disease: Acute Rheumatic Fever
This document summarizes rheumatic heart disease and acute rheumatic fever. It begins by introducing ARF as an autoimmune response to strep throat that causes inflammation in multiple organs including the heart. This can lead to rheumatic heart disease over time. It then covers the pathophysiology, diagnostic criteria, manifestations involving the heart, joints, skin and neurological system. Secondary prevention through antibiotic prophylaxis is discussed. Chronic rheumatic heart disease and its effects on the heart valves are also summarized.
ACUTE RHEUMATIC FEVER IN THE PAST AND PRESENT
Rheumatic fever is an inflammatory disease that can affect the heart, joints, brain and skin. It is caused by a prior untreated streptococcal throat infection. The disease was once very common but is now rare in developed countries. Symptoms include migratory arthritis, heart inflammation (carditis), abnormal movements (Sydenham's chorea), and subcutaneous nodules. Carditis is the most serious manifestation as it can lead to long-term heart valve damage and chronic rheumatic heart disease. Echocardiography plays an important role in the diagnosis of carditis. Prompt treatment of streptococcal infections and ongoing prevention medication can now largely prevent recurrent rheumatic fever in susceptible individuals.
Rheumatic fever
Rheumatic fever is an inflammatory disease that can develop after a streptococcal infection such as strep throat. It results from an immune response to certain streptococcus bacteria. The disease affects multiple systems like the heart, joints, skin, and brain. Symptoms include painful migratory arthritis, inflammation of the heart valves, involuntary movements known as Sydenham's chorea, and transient rashes. Diagnosis involves confirming a prior streptococcal infection and meeting criteria for clinical manifestations. Treatment focuses on antibiotics for streptococcal infections and anti-inflammatories or other drugs depending on the organ(s) involved.
Acute Rheumatic Fever
Acute rheumatic fever is a systemic illness that occurs 2-4 weeks after a Group A streptococcal throat infection. It is characterized by fever, polyarthritis affecting large joints symmetrically, and inflammation of the heart (carditis). Without treatment, it can lead to long-term heart damage including chronic rheumatic heart disease. It is diagnosed based on clinical signs and symptoms as well as lab tests showing inflammation. Treatment involves bed rest, aspirin or corticosteroids to reduce joint/heart inflammation, and long-term penicillin to prevent recurrence of streptococcal infection and subsequent rheumatic fever attacks.
Acute rheumatic fever
Rheumatic fever is an inflammatory disease that occurs following a streptococcal throat infection. It commonly affects the heart, joints, brain and skin. It is most prevalent in developing countries and accounts for a significant percentage of cardiovascular disease hospital admissions. The disease is caused by an autoimmune response triggered by streptococcal infection. Symptoms vary but may include arthritis, carditis, chorea and skin nodules. Treatment involves antibiotics for streptococcal infection and anti-inflammatory drugs. Recurrence can be prevented through long-term antibiotic prophylaxis. Rheumatic heart disease is a serious complication if carditis damages the heart valves.
Acute rheumatic fever
Acute rheumatic fever is a multisystem disease caused by an autoimmune reaction to a Group A streptococcal infection. It commonly affects children between 5-14 years old in developing countries. Symptoms include migratory polyarthritis, carditis, chorea, and skin manifestations. Diagnosis is based on clinical features and evidence of a preceding streptococcal infection. Treatment involves antibiotics to prevent recurrence and symptom relief. Ongoing antibiotic prophylaxis is also needed long-term to prevent recurrence, especially in those who develop cardiac involvement.
Acute rheumatic fever in Children
1) Rheumatic fever is an autoimmune disease that can occur as a delayed complication of untreated Group A streptococcal pharyngitis, with a latent period of 1-3 weeks.
2) It commonly affects children between 5-15 years of age and can involve the heart, joints, skin, and brain. The heart is involved in approximately 50-60% of cases (carditis).
3) Treatment involves bed rest, antibiotics to eradicate streptococci, anti-inflammatory drugs like aspirin for arthritis and carditis, corticosteroids for moderate to severe carditis, and long-term antibiotic prophylaxis to prevent recurrences.
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in ...
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography A Scientific Statement From the American Heart Association
Rheumatic heart disease ppt
Rheumatic heart disease is a major global health problem caused by untreated streptococcal infections like strep throat. It often leads to narrowing or stiffening of the heart valves. In India, the prevalence is about 6 per 1000 children aged 5-15, and it is the most common heart disease, accounting for 20-30% of cardiovascular hospital admissions. Nurses play an important role in prevention through health education, screening schoolchildren, and ensuring proper treatment of streptococcal infections to prevent recurrent rheumatic fever and further heart damage.
Rheumatic Fever
Rheumatic fever is quite common in developing countries and it has well known cardiac complications. So it's very important to know rheumatic fever, hopefully, this presentation will fill the needs. If you think it's helpful then share it.
What's hot (19)
Rheumatic fever & acute rheumatic heart disease Rheumatic fever & acute rhe...
Rheumatic fever & acute rheumatic heart disease Rheumatic fever & acute rhe...
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in ...
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in ...
Similar to Rheumatic fever
15- GAS and ARF AND .ppt
Group A strep can cause pharyngitis, which in rare cases can lead to acute rheumatic fever and rheumatic heart disease. Rheumatic fever is an autoimmune response following a strep throat infection, causing inflammation in joints, heart valves, and other tissues. It affects children primarily in developing countries. Prompt diagnosis and treatment of strep throat is key to preventing rheumatic fever. Rheumatic heart disease is permanent heart damage from repeated rheumatic fever attacks and is the most severe consequence, with symptoms depending on the valves affected. Control programs aim to prevent rheumatic fever through strep throat screening, treatment and public awareness.
acute rheumatic fever in pediatrics .pptx
This document discusses acute rheumatic fever, which is an autoimmune response that can occur 2-3 weeks after a streptococcal throat infection. It causes inflammation in multiple body systems like the heart, joints, skin and brain. If left untreated, it can lead to rheumatic heart disease. The document covers the causative agent, host susceptibility factors, pathogenesis, clinical features of acute rheumatic fever and its long term complications like rheumatic heart disease. It also discusses the treatment approach which involves antibiotics to prevent recurrence as well as medications to suppress symptoms.
Rheumatic fever in pediatrics
Rheumatic fever is a non-suppurative sequelae to group A streptococcal pharyngitis that causes inflammation in connective tissues like heart, blood vessels, joints, and brain. It is most common in children ages 5-15 from developing countries. The disease is caused by an abnormal immune response 1-3 weeks after streptococcal infection. Symptoms include migratory arthritis, heart valve damage, chorea, and subcutaneous nodules. Diagnosis is based on modified Jones criteria. Treatment involves antibiotics for streptococcal infection, aspirin or steroids for inflammation, and lifelong antibiotic prophylaxis to prevent recurrence, especially if carditis is present. Prognosis depends on age and whether
Rheumatic fever and heart disease
Rheumatic fever is an inflammatory disease that affects the heart, joints, skin, and brain. It occurs as a result of a prior streptococcal throat infection. The body mounts an immune response against the bacteria that cross-reacts with human tissues, causing damage. Common manifestations include painful migratory arthritis, inflammation of the heart valves, and involuntary movements known as Sydenham's chorea. Rheumatic fever predominantly affects children in developing countries and can lead to the chronic rheumatic heart disease if heart valves are damaged. Diagnosis is based on clinical criteria and evidence of a preceding streptococcal infection.
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Unit 2_Acute Rheumatic Fever.pptx
1 major plus 2 minor manifestations PLUS
evidence of recent strep
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recent strep
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No ARF: No criteria met
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3.clinical diagnosis & investigation in a case of thyroid swelling
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Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
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Rheumatic fever
- 2. etiology • GAS- Grp A betahemolytic streptococcus • 2/3rd of rheumatic fever have h/o antecedent upper resp tract infection. • Outbreaks in overcrowding • Strains-M1,3,5,6,18,29-more freq associated.
- 3. • Acute rheumatic fever versus rheumatic heart disease??
- 4. Epidemiology • 50/1,000 000 children • Most common form of acquired heart disease • Age grp-5-15 years
- 5. pathogenesis • Components of streptococci and the structures with which antibodies cross react: • Call wall protein-myocardium • Carbohydrate antigen-cardiac valve • Hyaluronic acid-human synovial fluid • Cytoplasmic membrane antigen- vascular intima
- 6. Clinical features • Revised JONES CRITERIA 2015 by AHA • Low risk—ARF incidence <2/1,00,000 school aged children(5-14yr) or all age rheumatic heart disease incidence<1/1000 population. • High risk area- other than low risk
- 7. There are 5 major and 4 minor criteria.
- 10. Major criteria 1.Migratory polyarthritis- • Red ,swollen,tender • Dramatic response to aspirin. • It is never deforming.(ARF licks the joints,bites the heart) 2.CARDITIS • 2015 AHA guideline has major change in the form of subclinical carditis(no murmur but 2d echo evidence of vavulitis) taken as a major criteria.
- 11. • Carditis contd. • Endocarditis is universal,usually pancarditis. • Mitral regurgitation in acute stage. Mitral+/- aotic stenosis seen as sequel. • Clinically, -tachycardia,CCF, pulmonary edema -s3gallop, muffled s1s2 -pericardial rub - pansystolic murmur at the apex (MR)/AR murmur.
- 12. 3.Chorea • Emotional lability,uncontrolled movements, exacerbated in stress and absence in sleep is characteristic • Chorea-usually unilateral • Latent period from GAS infection to chorea is usually long. • Milkmaid’s grip • Pronator sign • Jack in the box tongue
- 13. • 4. erythema marginatum • 5.s/c nodules- extensor surface
- 14. About the criteria- • 3 conditions in which diagnosis of acute rheumatic fever can be made without fulfilling criteria- 1.When Chorea as the only major criterion. 2.Indolent carditis is the only manifestation who come months after the first attack of ARF. 3.Recurrences of rheumatic fever
- 16. Supporting evidence of GAS infection • IT IS AN ABSOLUTE REQUIREMENT FOR ARF. • ASO titre, anti- DNAase B, antihyaluronidase • Throat culture • Slide agglutination test(streptozyme test)
- 17. d/d-
- 18. treatment • STRICT BEDREST • O2 Support, ABC management • Inotropes SPECIFIC MANAGEMENT- 1. antibiotics- -10days penicillin/amoxicillin/single i/m bnzathine penicillin to eradicate GAS from throat.
- 19. 2.anti-inflammatory drugs • Mild carditis- questionable cardiomegaly • Mod carditis-mild cardiomegaly • Severe carditis-marked cardiomegaly or CCF Total duration of aspirin- 12 weeks if severe carditis
- 20. 3.Treatment of CCF- -Propped up position -furosemide -Digoxin(half dose) 4. Chorea -phenobarbitone -haloperidol -valparin/chlopromazine
- 21. Prevention • Primary prevention-treat sore throat(GAS pharyngitis) adequately. • Secondary prevention- 60lb=27kg
- 23. Prognosis • 50-70% recover without residual disease. • Patients with carditis during initial episode are likely to have recurrent carditis. • Those with carditis have chance of reinfection with GAS. • 20% present with pure chorea,if not treated ,develop RHD in20 yrs..