Rheumatic fever
Disease information
Rheumatic fever
Rheumatic fever
.
Inflammatory complication of
infection
by group
A
streptococcus, which affects many parts of the body, especially the joints and heart.
Streptococcal
infections
are contagious,
but
not
rheumatic
fever.
Subsequent:
joints (
arthritis
)
heart and heart valves (all layers can be affected)
skin (appearance of nodules)
and brain (sometimes)
Complications.
Permanently damaged heart valves, which induces congestive heart
failure
.
Rarely,
cerebral
sequelae final.
Deformation and joint destruction.
Forecast.
It can be cured with treatment.
In some cases,
rheumatic
fever can damage the heart valves.
A
damaged valve can be replaced with surgery (one of the most
common
causes of valve replacement)
In
a
few cases,
rheumatic
fever is fatal even in the case.
Call the
doctor
if.
During treatment, raises the following symptoms:
Swelling in the legs or back.
Wheezing.
Vomiting or
diarrhea
.
Cough.
Abdominal pain.
Fever.
Presents new unexplained symptoms. Drugs for the treatment can cause side effects.
Diagnosis and Treatment.
Health
precautions.
History and physical examination by
a
doctor
.
Blood tests, cultivation of secrecciones throat and ECG.
Chest X - rays and heart.
Treatment.
Home
care after diagnosis (mild cases)
Hospitalization (severe cases)
General measures.
Take the temperature and pulse of the patient and write to your
doctor
.
Use
a
humidifier nebulizer to the patient when he hurt his throat or cough.
Medication.
Your
doctor
may prescribe:
Steroids (anti - inflammatory drugs) or aspirin to reduce inflammation.
Diuretics to reduce fluid retention.
Antibiotics to eliminate any remnants of strep
bacteria
.
At first,
liquid
or soft diet, which will progress to
a
normal
diet high in
protein
, calories and vitamins.
Risk Factors.
Poor diet.
Family
history of
rheumatic
fever.
Living in crowded or unsanitary conditions.
Living in crowded or unsanitary conditions.
Prevention.
Ask your
doctor
for
a
crop to detect the presence of streptococcus in the throat, especially when
childhood
.
You must follow
a
rapid treatment with antibiotics in case of any streptococcal
infection
, including the skin.
These
infections
must be treated with antibiotics, usually penicillin, 10 DAYS FOR ORAL OR WITH AN INJECTION OF LONG - TERM CARE.
Signs and symptoms.
Signs.
Inflammation of the joints characterized by.
Pain,
redness,
swelling and heat,
that can move from one to another joint.
It affects mainly wrists, elbows, knees or ankles.
The joint inflammation is usually refer to the 10 or 14 days,
but
without treatment, can move to other joints.
SYMPTOMS.
Fever, fatigue, pallor.
Loss of appetite, malaise.
Abdominal pain, chest pain.
Mild skin rashes on chest, back and abdomen.
Small packages, painless, under the skin in areas such as bony elbows or knees.
If it affects the heart:
Wheezing.
Fluid retention with swelling of legs and back.
Rapid pulse, especially in lying posture.
Uncontrollable movements of arms and legs (chorea) when it affects the brain.
Causes.
Rheumatic
fever is preceded by
a
streptococcal
infection
, usually in the throat, which occurred from 1 to 6 weeks before the manifestation of symptoms.
It is probably an autoimmune
disease
where the antibodies produced to
attack
the
bacteria
to
attack
the tissues of the joints or the heart.
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