Big picture: I understand you had rheumatic fever as a youngster and now have pain in three joints. If you have not had a recent strep infection and do not have other symptoms / signs of RF as when you were young, you don't have a recurrence and you need to look for some other cause of your joint pain with your physician's help. Labs are only adjuncts to a good history and physical exam.
Answered 5/13/2014
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