Endotoxins inflame: Acute rheumatic fever involves a host of endotoxins produced from strep bacteria that acutely affect the body (joints, skin, heart) resulting in widespread symproms. In te heart this can result in a pancarditis (endocardium, mesocardium, and epicardium), which can set in motion chronic inflammation and scarring in addition to valvular dysfunction.
Answered 9/28/2016
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