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Doctor insights on: Rheumatic Fever Likelihood Contracting Endocarditis

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Dr. Christine Hom
113 doctors shared insights

Rheumatic Fever (Definition)

An inflammatory disease that can involve the heart, joints, skin, and brain. It can develop weeks after ...Read more


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If you had rheumatic fever what is the chances of rheumatic heart disease later?

If you had rheumatic fever what is the chances of rheumatic heart disease later?

Up to 50%: About half of individuals who have rheumatic fever with evidence of carditis at presentation will develop significant enough damage to the heart valves to lead to a murmur later on in life (10-20 years later). The murmur may or may not be clinically significant. ...Read more

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Difference between rheumatic fever vs rheumatic heart disease?

Difference between rheumatic fever vs rheumatic heart disease?

ARF can cause RHD: Acute rheumatic fever is an immunologic response to a strep infection. It can cause fever, rash, arthritis and can damage the heart. Not everyone who gets acute rheumatic fever get permanent heart disease. Rheumatic heart disease is due to heart damage from acute rheumatic fever. ...Read more

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Does rheumatic fever cause mitral valve disease?

Does rheumatic fever cause mitral valve disease?

Yes: One of the features of rheumatic fever is pan-carditis, meaning that all layers of the heart are inflamed. Involvement of the mitral valve occurs 10x more often in women and aortic valve disease 4x more often in men. Quite frequently both the aortic and mitral valves are involved, with the tricuspid next in frequency and the pulmonic the least common. This can result in many complications. ...Read more

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If you had rheumatic fever what is the chances of getting rehumatic heart disease?

If you had rheumatic fever what is the chances of getting rehumatic heart disease?

Low: I'm assuming standard penicillin or Erythromycin rx. If treated early and your CRP becomes low normal, the risk is small. ...Read more

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Is rheumatic fever something like sepsis?

Is rheumatic fever something like sepsis?

Autoimmune: Rheumatic fever is a sequels of untreated streptococcal throat infection. Body produces antibodies to the bacteria which can attack joints and heart valves as they share some protein structures with the bacteria. ...Read more

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Why does acute rheumatic fever target the mitral valve causing stenosis?

Why does acute rheumatic fever target the mitral valve causing stenosis?

Autoimmune : The immunologic response the strep infection causes antibodies and cellular responses. But some of these same antibodies also react to certain heart tissue also causing heart damage. The immune response becomes autoimmune to the body tissues. ...Read more

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Can untreated rheumatic fever re active tb?

Can untreated rheumatic fever re active tb?

Reactivate? : No. If u were treated ; then free of tb. Untreated rheumatic fever is a very serious problem ; can lead 2 life threatening complications. ...Read more

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Why does subacute bacterial endocarditis may give embolic manifestation but not in acute rheumatic fever?

Why does  subacute bacterial endocarditis may give embolic manifestation but not in acute rheumatic fever?

Debris breaks off : Rheumatic fever is a misguided attack on your heart by your own immune system. Rheumatic fever creates damage that can cause susceptiblity to endocarditis. In bacterial endocarditis, colonies of bacteria develop on a heart valve or other intravascular structure. Clumps of bacteria, infection fighting cells or other debris can break off and travel through the body. ...Read more

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What is rheumatic fever from?

What is rheumatic fever from?

Strep infection: Rheumatic fever is a condition that can occur following a streptococcus pyrogens infection, such as strep throat or scarlet fever. It's typically a disease of children, though it's now far less common than it used to be. ...Read more

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Hx of a "mononucleosis like virus" (titer neg), still get chronic sinus infections, weakened immune system, shingles, bact infects. Poss causes? Hiv-

Hx of a "mononucleosis like virus" (titer neg), still get chronic sinus infections, weakened immune system, shingles, bact infects. Poss causes? Hiv-

Immune deficiency: Good that HIV has been ruled out! but there are other immune-deficiency states that need to be addressed. Tell your md to refer you to a good immunologist for further work up. ...Read more

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Would myocarditis or heart failure show up immediately after Rheumatic Fever if heart was affected?

Would myocarditis or heart failure show up immediately after Rheumatic Fever if heart was affected?

Rheumatic Fever: If the cardiac manifestation of RF was myocarditis, it would show up. Depending how bad and whether valve(s) were affected, too, heart failure could result. ...Read more

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Does acute stage of endocarditis produces fever ?

Usually: Bacterial endocarditis usually but not always causes fever. The fever may not be present early in the disease and may develop later depending on the infecting organism. As you have fever and a valvular abnormality you should be evaluated by your doctor. Blood and other cultures and a cardiac echo may be indicated. ...Read more

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Why would acute rheumatic fever target the mitral valve causing mitral valve stenosis?

Why would acute rheumatic fever target the mitral valve causing mitral valve stenosis?

No one really knows: Good question. But the answer is obscure. Rheumatic fever also affects the aortic valve. But why it targets valves on the right side of the heart is unclear. These are valves that are subject to greater pressures whih may be a reason. ...Read more

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What causes chorea of rheumatic fever?

What causes chorea of rheumatic fever?

Chorea: Rheumatic fever is a form of auto-immune reaction of the body to substances contained in the strep which are similar to those in some of our tissues, and the body reacts against those areas, confusing them with the strep. The central nervous system is not exempt from this and chorea is one manifestation of this type of involvement. ...Read more

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How does a child contract scarlet fever streptococcal infection?

How does a child contract scarlet fever streptococcal infection?

Other people: Strep is a bacteria that is passed from one person to another by mucous droplets. Strep is quite contagious and easily spread from one to another. ...Read more

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Are rheumatic fever, streptococcal pharyngitis, and anaphylactoid reaction related?

Are rheumatic fever, streptococcal pharyngitis, and anaphylactoid reaction related?

Yes,Yes and No: Rheumatic fever is a possible consequence of untreated strep throat. An anaphylactic reaction is a severe allergic response and not related to the other two. ...Read more

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Before strep throat reaches level of rheumatic fever, do immune system already mildly attack body tissues?

Before strep throat reaches level of rheumatic fever, do immune system already mildly attack body tissues?

Clarification: First, not all will develop rheumatic fever if untreated.The frequency is estimated at 1/200 untreated cases & what makes some do it and others not is unknown. Second, for those that will have 10 days to start treatment during which you can stop auto-antibodies to human tissue from forming. They would form antibodies to strep, just not auto-antibodies. ...Read more

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I had rheumatic fever, what is the likelihood of contracting endocarditis?

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

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Diff bet. inf.endocarditis and rheumatic fever, both r vegetations but what is the diff.? what is the role of bacteria in RF?plz help me wz videos .

Diff bet. inf.endocarditis and rheumatic fever, both r vegetations but what is the diff.? what is the role of bacteria in RF?plz help me wz videos .

Different: Rheumatic fever is a specific disease that is associated with damage to heart valves (usually mitral) that can develop following untreated strep throat. Infectious endocarditis is simply the presence of a vegetation (typically bacteria but can also be fungal) that builds up on any heart valve. In IV drug users for instance, the tricuspid valve is a common site to find vegetatations. ...Read more

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Why does subacute bacterial endocarditis may give embolic manifestation but not in acute rheumatic fever?

Debris breaks off : Rheumatic fever is a misguided attack on your heart by your own immune system. Rheumatic fever creates damage that can cause susceptiblity to endocarditis. In bacterial endocarditis, colonies of bacteria develop on a heart valve or other intravascular structure. Clumps of bacteria, infection fighting cells or other debris can break off and travel through the body. ...Read more

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If rheumatic fever was very very mild, what's the likelihood of relapse if I don't continue long term antibiotics?

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

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How commun is rheumatic Fever from untreated strep throat? Also, is it still possible to contract strep throat after having the tonsils removed?

How commun is rheumatic Fever from untreated strep throat? Also, is it still possible to contract strep throat after having the tonsils removed?

Rare and yes: Rheumatic fever is very rare these days. The reasons for its lower frequency than in past years are not completely known. Accurate diagnosis and prompt treatment of group A streptococcal infections are only part of the explanation. Strep throat certainly can occur after tonsillectomy. ...Read more

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Is rheumatic fever still occuring this century, in the u.S.?

Is rheumatic fever still occuring this century, in the u.S.?

YES: But infrequently. Strep throat is the predisposing factor, but since this has been treated aggressively by most doctors, we rarely see acute rheumatic fever. Last case i remember was 13 years ago. ...Read more

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Are the symptoms of rheumatic fever bad?

Are the symptoms of rheumatic fever bad?

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

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What is the definition or description of: rheumatic fever?

What is the definition or description of: rheumatic fever?

Post-strep fever: When the body produces antibodies to the streptococcus organism, the antibodies can affect the heart and kidneys; this inflammatory reaction is called an autoimmune reaction. The period of active inflammation of the heart is termed "rheumatic fever". ...Read more

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Does anyone know the number of people who are getting rheumatic fever in the u.S. Each year?

Does anyone know the number of people who are getting rheumatic fever in the u.S. Each year?

Several thousand: The cdc estimate for rheumatic fever in the us now is somewhere between 2-11 cases per 100, 000 people. In under developed countries, where basic health care is not available to most people, the rates of acute rheumatic fever are much higher. ...Read more

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What is acute rheumatic fever?

What is acute rheumatic fever?

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, [1] 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

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Is there evidence or relation between toothach and rheumatic fever ?

Is there evidence or relation between toothach and rheumatic fever ?

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

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Can untreated rheumatic fever re active tb?

Reactivate? : No. If u were treated ; then free of tb. Untreated rheumatic fever is a very serious problem ; can lead 2 life threatening complications. ...Read more

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Which treatment works the best and fastest for rheumatic fever?

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

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Which is better to treat rheumatic fever: Ayurveda or allopathy?

Which is better to treat rheumatic fever: Ayurveda or allopathy?

Rheumatic fever: To the best of my knowledge neither ayurveda or allopathy has antibiotic effect against the streptococcus, and i doubt they're much good at inflammation either. ...Read more

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What is the treatment for rheumatic fever? How long does treatment last?

What is the treatment for rheumatic fever? How long does treatment last?

See below: First treat the offending organism responsible, group A streptococcus infection, Then . NSAIDs, bed rest and if cardiac involvement treatments by a Cardiologist to manage active carditis and a if Chorea sedation and antiseizure drugs. ...Read more

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If pregnant can I be around a child who is diagnosed with rheumatic fever?

If pregnant  can I be around a child who is diagnosed with rheumatic fever?

Rheumatic fever: This condition is a result of having untreated strep throat. Usually once diagnosed the patient will receive belated therapy with antibiotics and not transmit the strep to others. We are frequently exposed to persons with strep and do not necessarily acquire it. ...Read more

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What's the best treatment for rheumatic fever and for how long does the treatment last?

What's the best treatment for rheumatic fever and for how long does the treatment last?

First treat strep: Rheumatic Fever is an autoimmune reaction to infection with group A streptococcus. Antibiotics are given to eradicate the strep and then lower doses taken to prevent reinfecttion. Generally NSAIDS and other antiinflammatories drugs are sufficient unless the heart is involved. If the heart is not involved most cases clear up with antiinflammatory treatment. Heart needs follow-up study. ...Read more

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My 4 year old's strep was not treated for almost 2 weeks, what is her risk of rheumatic fever?

My 4 year old's strep was not treated for almost 2 weeks, what is her risk of rheumatic fever?

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. ...Read more

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Dr. Martin Raff
242 doctors shared insights

Endocarditis (Definition)

A very serious infection of the inner lining of the heart and heart valves caused ...Read more


Dr. Mark Diamond
2,227 doctors shared insights

Fever (Definition)

Fever = elevated body temperature (can be ...Read more