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Doctor insights on: Rheumatic Fever Long Term Effects

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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 typically develops two to four weeks after ...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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Hi there my question for today is. How long do you have to have rheumatic fever before you find out you have it?

Hi there my question for today is. How long do you have to have rheumatic fever before you find out you have it?

Depends: It may be acutely that may present within days to weeks after the initial infection or may not present till years of having caused problems that were not picked up. ...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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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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Normally how long does it take for a 21 year old with strep throat to get rheumatic fever? If the rheumatic fever is very very mild, need treatment?

Normally how long does it take for a 21 year old with strep throat to get rheumatic fever? If the rheumatic fever is very very mild, need treatment?

4-6wks. Need tx: Rheumatic fever, with rash, fever, muscle aches, swollen and painful joints, usually appears about 4-6 weeks after the strep infection resolves. It can appear even with minimal strap symptoms that some may not even recognize as such. Strep and rheumatic fever require treatment with antibiotics ; the latter sometimes with long term antibiotic therapy. The treatment can prevent heart valve damage ...Read more

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Do a lot of people get rheumatic fever?

Do a lot of people get rheumatic fever?

Not anymore: Since the development of antibiotics (penicillin in particular) especially in developed countries with adequate access to medical care the number of patients that develop rheumatic fever has decreased dramatically as streptococcal throat infections are better diagnosed and treated. ...Read more

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What are the odds of getting rheumatic fever? How common is it?

What are the odds of getting rheumatic fever? How common is it?

Varies with study: One quoted number is 1 per each 200 untreated strep A infections. However, the data is hard to verify. In the third world, where access to care is limited and sore throats ignored, rheumatic heart disease is one of the more common causes of death. In the US, it pops up occasionally. ...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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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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What is the anatomy of rheumatic fever?

What is the anatomy of rheumatic fever?

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. ...Read more

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What is the progression for rheumatic fever?

What is the progression for rheumatic fever?

Strep throat: It is caused by group A beta-haemolytic streptococci. The disease affects joints, skin, heart and nervous system. The incidence is highest in school-aged children.Symptoms appear between one and five weeks after a sore throat, with an average of three weeks. Diagnosis is based on Jones Criteria.
http://patient. Info/doctor/rheumatic-fever-pro ...Read more

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How often does strep come as rheumatic fever?

How often does strep come as rheumatic fever?

Causes ARF: Strep throat leads to acute rheumatic fever because the body mistakes chemicals in the strep as if they were components of some of our normal tissues, and then reacts against those tissues thinking they are foreign invaders. This will happen with some frequency unless the strep throat is treated appropriately, but this has become increasingly rare in usa since most cases are treated appropriately. ...Read more

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Can doctors tell me what does rheumatic fever feel like?

Can doctors tell me what does rheumatic fever feel like?

Fever, fatigue,: Fever, fatigue, rashes, skin lumps, arthritis are all signs, but occur in many other diseases. ...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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What happens if rheumatic fever goes undiagnosed and therefore untreated? Will it just run its course?

What happens if rheumatic fever goes undiagnosed and therefore untreated? Will it just run its course?

See details: The major danger is significant, permanent damage to heart muscle or heart valves. However, if rheumatic fever is mild and does not have significant organ involvement it can just run its course. ...Read more

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I have rheumatic fever. Its been 3mos since I stopped taking penicillin. What's the possibility of not taking med?

I have rheumatic fever. Its been 3mos since I stopped taking penicillin. What's the possibility of not taking med?

Rheumatic fever: Rheumatic fever requires long-term antibiotic use, the consequences of having recurrent or worsening disease can lead to fatal consequences. I strongly urge you to discuss this with your physician and make sure that you are doing what is most appropriate for your good health. It's important you follow through with this, the consequences can be severe. ...Read more

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If someone has had Rheumatic Fever in the past and they get Strep again, do they have a recurrence if they treat Strep within a week or so?

If someone has had Rheumatic Fever in the past and they get Strep again, do they have a recurrence if they treat Strep within a week or so?

Strep: You could develop recurrent rheumatic fever from a strep infection, but prompt treatment is the best way to avoid it. If you have rheumatic heart disease or history of glomerulonephritis, taking permanent penicillin prophylaxis would be recommended although it's not as effective for prevention of glomerulonephritis. A specialist in infectious diseases could answer your question best, however. ...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 complications could result if pregnancy after having rheumatic fever?

What complications could result if pregnancy after having rheumatic fever?

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

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How is rheumatic fever and a heart murmur linked?

How is rheumatic fever and a heart murmur linked?

Valve damage: Rheumatic fever may damage or distort the valves in your heart rendering them unable to either close or open properly. As blood is pushed through a valve that does not open properly or leaks back through one that does not close well, the "squirting" noise (murmur) that is produced with acceleration of blood flow can be heard with a stethoscope placed over the affected valve. ...Read more

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Why might joint swelling occur with rheumatic fever?

Why might joint swelling occur with rheumatic fever?

Immune response: Rheumatic fever, a streptococcal infection causes the body to be "tricked" into producing an immune response to the body, in other words there is a cross reactivity of immune defenses whereby the cells responsible for immunity start to attack the body itself, and in this case major joints that result in what we call arthritis. It is nothing to take lightly and must be fought with antibiotics. ...Read more

Dr. Mark Diamond
2,227 Doctors shared insights

Fever (Definition)

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