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Rheumatic FeverRheumatic Fever – General InformationRheumatic Fever is considered an inflammatory condition that can appear as a rare complication to certain untreated strep throat infections. The strep throat infection is usually caused by the streptococcus bacteria belonging to the A class. In most cases, the condition affects children that have between six to ten years old, but it can easily develop in older patients. If the condition called Rheumatic Fever is not treated in time, it can cause severe damages to the patient’s heart, joints, brain, spiral cord, and even to the skin. In most cases, the signs and symptoms of this medical condition appear after two to three weeks after the strep throat infection occurred. There are some clinical cases in which the strep throat infection does not lead to the appearance of this kind of medical disorder. Actually, there is no cure for Rheumatic Fever, but doctors found many ways to prevent the appearance of it which consist in prompt and complete treatment with antibiotics that have proven their effectiveness in treating a strep throat infection. There are cases in which, if the disease is not treated properly, it can cause permanent heart damage, also known as rheumatic heart diseases. Usually, the condition only affects the heart’s valves, causing rheumatic carditis which can interfere with the patient’s normal blood flow through the heart. It is very important for the patient to see his or her doctor as soon as he experiences any of the disease’s signs and symptoms in order to increase the cure rate and to prevent future complications.Rheumatic Fever – SymptomsThe exact cause that leads to the appearance of the medical condition known as Rheumatic Fever is still unclear. Scientists have examined the abnormal immune system response to certain antigens produced by specific types of streptococcal bacteria. The most common bacteria are those that belong to the group A of streptococcus. After the examinations, specialists now study whether the patient has an increased genetic disposition for abnormal immune system response to these streptococcal antigens. Usually, the signs and symptoms caused by Rheumatic Fever can appears as painful, swollen joints, pain felt in the chest area, fatigue, shortness of breath, faint pink or red rash, jerky body movements and fever. In most cases, the diagnosis of this kind of condition is made with the help of the signs and symptoms specific for the strep throat infection which can include sore throat, red and swollen tonsils, fever, fatigue, abdominal pain (which usually appears in younger patients), tender lymph nodes in the front of the neck, headache and muscle aches. There are some rare cases in which the first stages of the strep throat infection do not cause any particular clinical manifestations. If the patient experiences any symptoms of strep throat and he is also experiencing difficulties in breathing or chest pain, he must contact his doctor as soon as possible to prevent the development of other more severe complications. These signs do not show the presence of Rheumatic Fever, but this disorder can be easily prevented by treating the strep throat infection with the appropriate antibiotics.Rheumatic Fever – TreatmentUsually, the diagnosis of Rheumatic Fever is made by applying certain physical examinations and questions concerning the patient’s specific signs and symptoms. The physical examination can include tests such as checking the joints to see if they are tender or inflamed, examining the patient’s skin for rashes or lumps, listening to the patient’s heart for any unusual rhythms and murmurs or applying a neurological test to check for abnormal movements. There are cases in which the doctor can recommend an electrocardiogram to check for any unusual heart rhythms. This kind of procedure involves the placing of an electrode patch to the patient’s skin to measure the electrical impulses that come from his heart. Usually, to be sure upon the diagnose of Rheumatic Fever, doctors base on two major criteria such as joint pain and swellings that move from joint to joint, and an inflammation of the patient’s heart. There are cases in which the condition causes signs that indicate the presence of recent strep infections. In these cases, doctors take a blood sample and test it to check for the presence of antibodies to streptococcal bacteria. Usually, the main goal in treating Rheumatic Fever is to relieve the symptoms, and depending on each individual health state, to destroy the streptococcus and prevent any future complication or infection. The most common medicines used to treat this medical condition are antibiotics. These medications treat the streptococcal infection and prevent the recurrence of the disorder. In most cases, doctors recommend penicillin or other antibiotics which have the effect of eliminating any remaining strep bacteria in the patient’s body. There are also some particular cases in which doctors can recommend the use of several additional antibiotics, which have to be taken for at least two to three years to prevent any further attacks of the disease. If the treatment trial is halted, the condition can easily recur, commonly during the first two to four years after the initial infection. In some cases, doctors recommend over the counter medicines to treat this kind of medical disorder. These medicines have the effect of reducing the heart and joint inflammation. The most common medicines applied to achieve these effects can include nonsteroidal anti inflammatory drugs. There are cases in which the patient can suffer from severe heart inflammation, and the first option is to take corticosteroid medications, which can include prednisone, that acts by effectively reducing the inflammation. If Rheumatic Fever is not treated properly, it can lead to the appearance of more severe complications such as heart damage, which can be challenging to detect. There are some severe cases in which Rheumatic Fever has progressed too fast and has caused too much damage to the patient’s heart, leading to heart failure. In order to ensure the recovery of the affected valves, doctors apply surgical measures, which can consist in repairing or replacing the damaged valve or valves. There are also some cases in which the condition can affect the patient’s brain and skin. |
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