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Acute Rheumatic Fever and Chronic Rheumatic Disease

This chapter describes the epidemiology, pathogenesis, clinical manifestations, diagnostic criteria, and management principles of acute rheumatic fever.

Authors:
Remenyi B, Carapetis J

Authors notes:
In: Da Cruz EM, Ivy D, Jaggers J, editors. Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care: Springer London; 2014. p. 2329-2350

Keywords:
Acute rheumatic fever, Aortic regurgitation, Aortic stenosis, Aortic valve, Arthritis, Chorea, Erythema marginatum, Jones criteria, Mitral regurgitation, Mitral stenosis, Mitral valve, Myocarditis, Penicillin, Pericarditis, Rheumatic fever, Rheumatic heart disease, Streptococcal infection, Subcutaneous nodules, Tricuspid valve, Valvulitis

Abstract:
Rheumatic heart disease, a sequel of acute rheumatic fever, remains the most common cause of acquired heart disease worldwide and today it is a disease of poverty.

This chapter describes the epidemiology, pathogenesis, clinical manifestations, diagnostic criteria, and management principles of acute rheumatic fever.

Chronic rheumatic heart disease, its clinical manifestation, and medical and surgical management are also presented.