Rheumatic fever history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Varun Kumar, M.B.B.S. Anthony Gallo, B.S. [2]
Overview
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include prior rheumatic fever infection, family history of rheumatic fever, and recent streptococcal infection. Common symptoms of rheumatic fever include fever, nose bleeds, and skin rash.
History
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:
- Prior rheumatic fever infection
- Family history of rheumatic fever
- Recent streptococcal infection
- Antibiotic regimen
- Recent travel, especially to developing countries
Symptoms
Rheumatic fever is a non-suppurative sequelae that occurs 2-4 weeks following streptococcal pharyngitis or skin infection. Common symptoms of rheumatic fever include:[1][2][3]
- Fever
- Nose bleeds
- Skin rash (see erythema marginatum)
- Chest pain
- Abdominal pain
- Swollen, painful, tender joints
- Palpitations
- Jumpy body movements that cannot be controlled observed on the face, feet and hands; emotional disturbances with outbursts of unusual behavior such as inappropriate laughing or crying (see Sydenham's chorea, also known as St. Vitus' dance)
- Sore throat
- Malaise
- Fatigue
- Shortness of breath
- Bumps or nodules that appear under the skin
- Difficulty swallowing
- Seizure
- Coma
References
- ↑ Binotto M, Guilherme L, Tanaka A (2002). "Rheumatic Fever". Images Paediatr Cardiol. 4 (2): 12–31. PMC 3232519. PMID 22368613.
- ↑ Rheumatic Fever. Pediatrics OnCall (2014) http://www.pediatriconcall.com/fordoctor/Diseases_a_z/Article.aspx?artid=263&tab=6 Accessed on October 16, 2015
- ↑ Rheumatic Fever. New World Encyclopedia (2015). http://www.newworldencyclopedia.org/entry/Rheumatic_fever Accessed on October 16, 2015.