Rheumatic fever history and symptoms: Difference between revisions
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Revision as of 20:01, 2 November 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Varun Kumar, M.B.B.S. Anthony Gallo, B.S. [2]
Overview
Common symptoms of rheumatic fever include fever, nose bleeds, and skin rash.
History
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:
- Prior rheumatic fever infection
- Family history
- Recent streptococcal infection
- Antibiotic regimen
- Recent travel, especially to developing countries
Symptoms
Rheumatic fever is a non-suppurative sequela that occurs 2-4 weeks following streptococcal pharyngitis or skin infection. Common symptoms of rheumatic fever include:[1][2][3][4]
- Fever
- Nose bleeds
- Skin rash (see erythema marginatum)
- Streptococcal infection
- Chest pain
- Abdominal pain
- Swollen, painful, tender joints
- Palpitations
- Jumpy body movements that cannot be controlled observed on the face, feet and hands; emotional disturbances with outbursts of unusual behavior such as inappropriate laughing or crying (see Sydenham's chorea, also known as St. Vitus' dance)
- Sore throat without other cold symptoms such as a runny nose
- Tender, swollen lymph nodes with a sore throat
- Malaise
- Fatigue
- Shortness of breath
- Bumps or nodules that appear under the skin
- Difficulty swallowing
- Delirium
- Stupor
- Seizures
- Coma
References
- ↑ Binotto M, Guilherme L, Tanaka A (2002). "Rheumatic Fever". Images Paediatr Cardiol. 4 (2): 12–31. PMC 3232519. PMID 22368613.
- ↑ Rheumatic Fever. Wikipedia (2015). https://en.wikipedia.org/wiki/Rheumatic_fever Accessed on October 16, 2015
- ↑ Rheumatic Fever. Pediatrics OnCall (2014) http://www.pediatriconcall.com/fordoctor/Diseases_a_z/Article.aspx?artid=263&tab=6 Accessed on October 16, 2015
- ↑ Rheumatic Fever. New World Encyclopedia (2015). http://www.newworldencyclopedia.org/entry/Rheumatic_fever Accessed on October 16, 2015.