Rheumatic Fever

STREPTOCOCCAL THROAT INFECTION

DEFINITION :

Rheumatic fever is an autoimmune disease is called streptococcal throat infection.

That causes inflammatory lesions in the connective tissues, heart, joints, blood vessels and subcutaneous tissues.

Complications ;

Rheumatic heart disease

Rheumatic endocarditis

Valve narrowing or stenosis

Risk factors:

Family history, bacterial infection, streptococcus bacteria, environmental factors

Clinical manifestation :

General fever

Major – Arthritis in several joint

Heart inflammation

Nodules under the skin

Skin rashes

Minor – low fever

Joint pain

Irregular heart rhythm

ESR elevation

CRP elevation

Prolonged PR intervel in ECG

Diagnostic Evaluation :

History collection

Physical examination

ECG

ECHO

Blood test

CRP

ASO type

Medical Management

1.Antibiotic therapy

Penicillin, Erythromycin, procaine penicillin, Sulfadiazine

2.Anti inflammatory

Aspirin and steroids

Nursing Management

Reduce the fever

Maintaining adequate cardiac output

Maintain activity

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