Rheumatic fever

Alternative names:

adult rhumatic fever; juvenile rheumatic fever

Treatment:

The goal of treatment is cure of the infection, which helps to prevent complications.

Antibiotics, preferably penicillin or erythromycin, are used to fight the infection. Antibiotics may be given long-term for chronic or resistant cases. Medications to reduce pain and swelling include aspirin, anti-inflammatory medications (NSAIDS and corticosteroids - oral), and analgesics. (Consult with your health care provider before giving aspirin or NSAIDS to children.)

Reduce your physical activity. Bedrest may be recommended for a time to allow the body to heal. Fluids are encouraged, often at least 6 to 8 glasses per day.

Expectations (prognosis):

The recurrence of rheumatic fever is common. Joint and heart complications may be long-term and severe.

Complications:

• arthritis
• damage to heart valves (especially mitral stenosis)
• endocarditis
• stable angina
• heart failure
• arrhythmias
• pericarditis
• chronic skin disorders, sores
• chronically enlarged lymph nodes
• anemia
• protein in the urine (which may be associated with kidney damage)
• Sydenham's chorea

Calling your health care provider:

Call your health care provider if symptoms of rheumatic fever are present.

Call for an appointment with your health care provider if you have an untreated infection that is probably caused by streptococcus bacteria (such as strep throat).