Acute rheumatic fever (ARF) is a delayed inflammatory sequela of group A Streptococcus (GAS) tonsillopharyngitis that affects multiple organ systems.
Can lead to rheumatic heart disea...
Requires laboratory evidence of preceding GAS infection (See “Initial Tests [lab, imaging].”)
Revised 2015 Jones criteria
Initial ARF: 2 major OR 1 major + 2 minor
Recurrent ARF: 2 major OR 1 m...
Antibiotic
Anti-inflammatory agent (aspirin or naproxen)
Manage cardiac manifestations as needed in addition to standard ARF treatment (e.g., dysrhythmia, pericarditis, myocard...
ARF patients should be on a prophylactic antibiotic throughout childhood until age 21 years and possibly indefinitely depending on cardiac damage because recurren...
I00 Rheumatic fever without heart involvement
I01.9 Acute rheumatic heart disease, unspecified
I01.0 Acute rheumatic pericarditis
I01.1 Acute rheumatic endocarditis
I02.9 Rheumatic chorea witho...
ARF is an inflammatory disease that affects multiple organ systems including the heart.
Modified Jones criteria for diagnosis include two major or one major plus two minor manifestation...
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