Infectious Disorders of the Heart (incomplete,,, pericarditis etc)

What is rheumatic fever?

A diffuse inflammatory disease triggered by a delayed response to GABHS infection in the tonsillopharyngeal area.

What type of disease is rheumatic fever considered?

A connective tissue disease.

What is the suspected cause of rheumatic fever?

An autoimmune response, though the exact pathogenesis is unclear.

When does the initial attack of rheumatic fever most often occur?

Between ages 5 and 15.

What is a common systemic symptom of rheumatic fever?

Fever.

What type of joint pain is seen in rheumatic fever?

Painful, tender joints (arthritis), especially in the knees, ankles, elbows, and wrists.

What heart-related symptoms may occur in rheumatic fever?

Chest pain, shortness of breath, and fast heartbeat (signs of congestive heart failure).

What is a general symptom that reflects decreased energy in rheumatic fever?

Fatigue.

What is chorea in rheumatic fever?

Jerky, uncontrollable body movements.

What are subcutaneous nodules?

Painless lumps under the skin, often seen in rheumatic fever.

What is erythema marginatum?

A rash with pink rings, typically associated with rheumatic fever.

Diagnostic Tests for Rheumatic Fever?

1. Throat swab

2. Blood test

3. ECG

4. Echocardiography

What is the purpose of a throat swab in diagnosing rheumatic fever?

To check for a group A strep infection.

What does a blood test for antibodies indicate in rheumatic fever?

Past or recent group A strep infection.

Why is an ECG done in rheumatic fever?

To detect any abnormal heart rhythms or signs of heart involvement.

Why is echocardiography used in rheumatic fever diagnosis?

To assess structural damage or inflammation in the heart.

What is the drug of choice to eradicate the infection in rheumatic fever?

Penicillin.

What is the goal of using penicillin in rheumatic fever?

To eliminate group A strep infection.

What drugs are used to promote comfort in rheumatic fever?

Salicylates (drug of choice).

What non-drug measure is important for comfort during rheumatic fever?

Bed rest.