Prevention of ‘Rhumatic fever’

rheumatic fever

The Etiology   <ul><li>RF only develops in children and adolescents following GABHS pharyngitis, and only infections of th...Who is at risk for rheumatic fever? <ul><li>Fewer than 0.3% of people who have strep throat also get rheumatic fever. Rheu...<ul><li>Types of Rheumatic fever: </li></ul><ul><li>Subtypes of Rheumatic fever:   Acute rheumatic fever ,  Chronic rheuma...Diagnosis methods for rheumatic fever   <ul><li>There are no specific tests to diagnose rheumatic fever. Instead, physicia...Signs of the condition that may be identified by a physician include: <ul><li>Carditis. Approximately 50 percent of patien...Aortic valve showing active valvulitis. The valve is slightly thickened and displays small vegetations – &quot;verrucae&qu...Signs of the condition that may be identified by a physician include: <ul><li>Chorea . Occurring in about 20 percent of ca...Guidelines for the diagnosis of initial attack of rheumatic fever  (Jones Criteria, 1992 Update)   <ul><li>Major manifesta...

 

rheumatic fever

The major manifestations include: <ul><li>Arthritis in the joints.  </li></ul><ul><li>Chorea . This describes inflammation...

The minor manifestations include:   <ul><li>Fever </li></ul><ul><li>Arthralgia </li></ul><ul><li>Elevated acute phase reac...

Other clinical manifestations <ul><ul><li>Abdominal pain:  Abdominal pain usually occurs at the onset of acute RF, resembl...

Conditions related to rheumatic fever   <ul><li>Rheumatoid arthritis.  Pain, inflammation and soreness in the joints.  </l...

Differential diagnosis of rheumatic fever <ul><li>Juvenile rheumatoid arthritis </li></ul><ul><li>Systemic lupus erythemat...

Lifestyle Changes <ul><li>If rheumatic fever has led to rheumatic heart disease or damage to your heart valves, your docto...<ul><li>Penicillin is given to eradicate any organisms still present. In allergy to penicillin, erythromycin or a cephalos...

**********************************************************************************************************************************************************************

 

 

 

Rheumatic Fever • Rheumatic fever (RF) is an acute, immunologically mediated, multisystem inflammatory disease that occurs...

Rheumatic feverEpidemiology • <1:1000 in developed countries; 10:1000 schoolchildren in developing countries • It is rarer, but still acc...

 

Rheumatic fever

Pathology • Typically occurs several weeks after a streptococcal pharyngitis • Usually group A beta haemolytic streptococc...Pathology (Continue) • Delay from acute infection to onset of rheumatic fever is usually 3–4 weeks • RF is thought to comp...Pathogenesis 6/2/2015 7  Clinical features • Sore throat 1–5 weeks earlier is reported in two-thirds of cases • Fever, abdominal pain, and epistaxi...Clinical features (Continue) • Erythema marginatum is an evanescent rash and central clearings on the trunk and proximal l...Diagnosis Criteria Oxford Handbook of Cardiology. 2nd edition. Page:146-1506/2/2015 10  Prevention • The only known way to prevent rheumatic fever is to treat strep. throat infections promptly with a full cours...Prevention (Continue) • If you have or suspect you have rheumatic fever see your doctor or local health clinic • If you ha...Prevention (Continue) • Keep sores clean and covered • Wash hands regularly • Watch out for symptoms in children – people ...Prevention (Continue) Primary Prevention: Primary prevention of rheumatic fever is possible with a 10-day course of penici...Secondary Prevention Who should receive prophylaxis? Patients with documented histories of rheumatic fever, including thos...Secondary Prevention (Continue) For how long? Ideally, patients should receive prophylaxis indefinitely. For patients who ...Key message 6/2/2015 19  6/2/2015 20  6/2/2015 21  6/2/2015 22

 

 

Pediatric Rheumatic Fever: Background, Pathophysiology, Epidemiology

 

 

 

 

 

RHD – Rheumatic Heart Disease – DR. TRYNAADH

Introduction It is a Systemic disease involving 4 organs.. Joints, heart, brain and skin Sequelae in which organ? Heart Ag...Introduction Predisposing factors? Low socio-economic status, Overcrowding, Poverty, Under nutrition & Poor hygiene Geneti...

Acute rheumatic fever

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leave a comment