Rheumatic fever can occur after a sore throat caused by the bacterium A streptococcus. Group A streptococcus sore throat causes a sore throat or a rare red fever. A sore throat caused by a stroke or high fever if not treated properly. Stroke throat and scarlet fever are caused by a bacterial infection of streptococcus. Rheumatic fever usually affects children and adolescents in low- and middle-income countries, especially in areas where poverty is widespread and access to health care is limited. People living in overcrowded and poor places are more likely to be infected.

It is not very common in adults, although they develop rheumatic fever. Rheumatic fever is not contagious. They can neither give nor receive. But strep throat and scarlet fever are contagious. These infections can be spread by inhalation (coughing or sneezing).


Rheumatic fever usually begins two to four weeks after the onset of a sore throat. Signs and symptoms of rheumatic fever – Symptoms of swelling of the heart, joints, skin or central nervous system – fever, pain and soft joints – usually in the knees, ankles, elbows and wrists, pain in one joint, red, hot or Swollen joints, small skin, painless swelling, chest pain, heartburn, fatigue, flat or slightly elevated, painless rash, fractured edges, jerky, uncontrollable movement (Sidneyham chorea) – often on hands, feet and On the face.


The link between strep infection and arthritis is not clear, but the bacteria can damage the immune system. Stroke bacteria carry a protein similar to that found in certain tissues of the body. The body’s immune system, which normally attacks infectious bacteria, invades its own tissues, especially the tissues of the heart, joints, skin, and central nervous system. This causes inflammation of the immune system.


If your child is treated with antibiotics quickly to get rid of streptococcus and all medications are prescribed, there is a lower risk of rheumatic fever. If your child does not get one or more strokes or scarlet fever or is not completely cured, he or she may develop rheumatic fever. Rheumatic fever can cause permanent damage to the heart, including damaged heart valves and heart failure. Treatments reduce the risk of inflammation, reduce pain and other symptoms, and prevent the recurrence of rheumatic fever. Swelling caused by rheumatic fever can last from a few weeks to several months. In some cases, the swelling can cause long-term problems.

Tests and Tests

If your provider suspects rheumatic fever, first clear your throat of streptococcus bacteria. You can use a quick Strops test or order a throat swab. A quick strep test result can be given in 10 minutes. Throat culture takes a few days to get results. Depending on your symptoms, your healthcare provider may order the following.

Blood tests; Sometimes providers order a blood test to confirm a strep infection. Blood tests can detect antibodies, other blood tests look for substances (such as proteins) that show inflammation in the body.

Heart tests; Cardiac tests, such as electrocardiogram (ECG) or echocardiogram (cardiac ultrasound), help providers monitor your heart function.

Treatment and prevention

The only way to prevent rheumatic fever is to treat it right away with a full course of antibiotics.

Antibiotics; Healthcare providers prescribe antibiotics to treat major bacterial infections. Some antibiotics are a shot. Others are taken orally for a week or more.

Anti-inflammatory drugs; Your provider may suggest medications such as aspirin to reduce swelling in the body. This medicine can relieve symptoms such as joint pain. For severe symptoms, your provider may prescribe strong corticosteroids to fight the swelling.

Other treatments: Rheumatic fever can affect people in a variety of ways. Depending on how bad the situation is, your provider may recommend other treatments. You may need heart surgery or joint surgery to treat serious problems in serious cases.

Good hygiene reduces the risk of bacterial infection. It can also prevent you from spreading the infection to another person. You should always do the following:

  • Wash your hands often (and thoroughly) with soap and water.
  • Cough or sneeze into the tissue, elbow or upper shoulder (not your hand).
  • Use the tissue once to sneeze or blow your nose and then throw it away and wash your hands.

Pediatrician and Public Health
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