Diagnosis and management of acute rheumatic fever

Irma Kartika (1), Syafarinah Nur Hidayah Akil (2)
(1) Universitas Muhammadiyah Surabaya,
(2) Universitas Muhammadiyah Surabaya, Indonesia
https://doi.org/10.30651/jqm.v7i2.19023

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Issue
Vol. 7 No. 2 (2023): Journal Qanun Medika Vol 07 No 02
Submitted
June 15, 2023
Published
July 24, 2023
Keywords:
    acute rheumatic fever, rheumatic heart disease, GAS pharyngitis
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Abstract

Acute rheumatic fever is a nonsuppurative, immune-mediated consequence of group A streptococcal pharyngitis. Recurrent or severe acute rheumatic fever can cause permanent cardiac valve damage and rheumatic heart disease. Universally, the most common major manifestations during the first episode of ARF remain carditis and arthritis. Subclinical carditis now can fulfils a major criterion for ARF in all populations as in revised Jones criteria – AHA 2015. Many of the clinical features of ARF are non-specific, so a wide range of differential diagnoses should be considered. Primary prevention requires accurate recognition and proper antibiotic treatment of GAS pharyngitis. Prevention of recurrent attacks of rheumatic fever (secondary prevention) is the most cost-effective way of preventing further rheumatic heart disease (RHD). Penicillin remains the antibiotic of choice. Intramuscular penicillin is preferred as it is more effective than oral penicillin and results in better compliance.

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References

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Authors

Irma Kartika
Universitas Muhammadiyah Surabaya
irma.cardio@gmail.com (Primary Contact)
Syafarinah Nur Hidayah Akil
Universitas Muhammadiyah Surabaya
Author Biographies

Irma Kartika, Universitas Muhammadiyah Surabaya

Cardiologi

Syafarinah Nur Hidayah Akil, Universitas Muhammadiyah Surabaya

Parasitology
Kartika, I., & Akil, S. N. H. (2023). Diagnosis and management of acute rheumatic fever. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 7(2). https://doi.org/10.30651/jqm.v7i2.19023
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