Doctor insights on:
How Does Rheumatic Fever Affect Pregnancy
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Rheumatic fever: Rheumatic fever itself is not a problem prior to pregnancy unless you develop rheumatic heart disease. Rheumatic heart disease is the most severe sequela of acute rheumatic fever. It usually occurs 10 to 20 years after the original illness. It can affect the heart valves most commonly causing mitral stenosis. Mitral stenosis can complicate a pregnancy. ...Read more
What are the risks if a woman develops Acute Rheumatic Fever during pregnancy (16 weeks)? What could happen to the baby? Mom?
This depends: The infnat hsould do well. This depends on the involvment. During the preganacy she will need to see high risk OB ...Read more
Group A strep: Rheumatic fever is an inflammatory condition which uncommonly follows group a strep infections of the throat. It may affect joints, movement, skin and heart valves. The course is difficult to predict, but should be followed closely. Your doc needs to help you understand the treatment and plan. ...Read more
Can a person that had a rheumatic fever years ago work as a dentist? Doesn't this career risk his health?
No career risk: Dental personnel who have had rheumatic fever are not at any risk working in the dental field. Nor are the patients that they care for. There can be some lingering complication to those who have had r fever. Heart and heart valve damage for one. The infection control procedures that are followed makes it a safe work site. More risk catching cold. ...Read more
If rheumatic fever was very very mild, what's the likelihood of relapse if I don't continue long term antibiotics?
Hard to comment: Without a full review of your history, records, exam & understanding of how the diagnosis was made it is hard to comment. RF is an immune mediated disease and in theory any new strep A infection could trigger a relapse & more damage. However, there are also proponents of discontinuing long term treatment in adulthood. It is best to discuss your options with your docs. ...Read more
They could be: Particularly the ones related to joint swelling and inflammation. It is not unusual for the "arthritic" symptoms to be severe enough to prevent you form bearing weight and even walking. Other symptoms occurring several months later on (chorea) may also be debilitating by producing uncontrolled involuntary movements. ...Read more
Several problems.: Rheumatic fever is an inflammatory disease that occurs following a streptococcal infection, such as streptococcal pharyngitis or scarlet fever. Believed to be caused by antibody cross-reactivity that can involve the heart, joints, skin, and brain,  the illness typically develops two to three weeks after a strep infection. Acute rheumatic fever commonly appears in children between 6-15 yrs old. ...Read more
Need antibiotics?: Rheumatic fever can damage heart valves, causing a murmur. Some types of murmurs require antibiotics prior to dental treatment. Your physician can tell you if you need antibiotics prior to dental care. ...Read more
No easy answer: Rheumatic fever is an autoimmune process (antibodies attack our own tissues) that follows infection with streptococci. Symptoms include heart murmur and possibly heart failure, arthritis, nodules under the skin, chorea (abnormal involuntary movements) and rash. Treatment consists of penicillin, aspirin, and prednisone. Preventive penicillin is given for 10 years to prevent recurrence. ...Read more
It depends: Becsb, I would recommend you get an echocardiogram (ultrasound) of your heart to assess the valves. If the valves are normal, your risk for endocarditis is minimal and you would not require antibiotics prior to procedures. The acc guidelines recently changed for antibiotic prophylaxis to: anyone with complex congenital heart disease, prior endocarditis, or mechanical heart valves. ...Read more
Rheumatic fever: Rheumatic fever is caused by a streptococcal infection triggering a specific immune response. Acutely various joint aches and pains occur accounting for the 'rheumatic' term. Long term the mitral and/or aortic valves are often involved with chronic inflammation and damaged. We see rf rarely in the us now, but sometimes in new immigrants. ...Read more
Perhaps: Rheumatic fever and rheumatic heart disease refers to what we call a pancarditis. That means that the entire heart is playing in this condition. That's why we take strep infection so seriously. And yes I left bundle branch block can occur but is not the most common occurrence when someone has rheumatic heart disease or rheumatic fever. ...Read more
No issue!: There is no issue with a post- infectious rheumatic disease. It is no contraindication. ...Read more
Myocarditis Symptoms: The most common symptom of myocarditis is shortness of breath during exercise or exertion. This symptom usually develops 7 to 14 days after a viral illness and can progress to shortness of breath at night, which may require that you sit up to breathe. Other symptoms may include fatigue, heart palpitations and chest pain or pressureshortness of breath, chest pain, lightheadedness, irregular heart. ...Read more
Less than optimal: The blood flow through the fat is slower and less predictable than through muscle. However, the medicine will eventually leak out into your blood over time and suppress strep activity. ...Read more
What blood test can be done to check whether my Rheumatic fever has come back that I had when I was a boy?
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. ...Read more
In rheumatic fever, should we do skin sensitivity test every time after any injection IM penicilin or in the first time only?
?: If you have a known life-threatening allergy to penicillin, a skin sensitivity test can trigger it so isn't entirely safe. You should take sulfadiazine, not PCN. If you're not known to be allergic, you can simply receive Penicillin as serious allergy is rare and your doctor should have the expertise to reverse a mild allergy if it occurs. If uncertain, a short acting PCN should be tried, not IM. ...Read more
Do I have to premeditate b4 dentist appt. If I had rheumatic fever? I have an order from my pcp but I don't want to take if I I would become resistant
Premed requirements: The american heart association no longer recommends premedication for patients with a history of rheumatic fever, heart murmurs or prolapsed mitral valve. There are only a very few heart patients who need to be premeditated before dental treatment. Talk to your dentist before your appointment to verify your status. ...Read more
Yes: About 1.5% of persons with rheumatic carditis die of the disease annually. Cardiac involvement is the most serious complication of rheumatic fever and causes significant morbidity and mortality. About 60% of patients diagnosed with rheumatic fever annually will develop carditis. ...Read more
20 million: Worldwide, it is estimated that as many as twenty million people (mostly children aged 5-15) develop rheumatic fever each year; most of these cases occur in developing countries. In the United States, it is estimated that there may be as few as 2 cases per 100, 000 people each year which equals about 6000 cases. ...Read more
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