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A member asked:
My 4 year old's strep was not treated for almost 2 weeks, what is her risk of rheumatic fever?
2 doctors weighed in across 2 answers
Jones criteria : Rheumatic fever is a sequelae, or side effect of strep infections that occurs within 3 weeks of a Group A Strep infection( confirmed) and 2 major criteria or 1 major/ 1 minor criteria(Jones). Major : carditis, Polyarthrits, Chorea, E marginatum rash, nodules under skin. Minor : Arthralgia, Fever, Increased ESR/CRP, Arrhymia. Risk - minimal very rare side effect of strep
Answered 7/10/2016
1.2k views
About 1/200: We don't see it as much now as we did many years ago due to increased recognition and treatment of strep. However, the risk of complications like Rheumatic fever is still present, primarily in children. The cited risk per untreated strep infection is 1/200 and can be reduced/eliminated if treatment is initiated within 10 days of first symptoms.
Answered 9/4/2016
1.1k views
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