Rheumatic Fever is an inflammatory disease, which occurs as a delayed sequel to pharyngeal infection with streptococcal bacteria. It involves principally the heart, joints, central nervous system and skin.

Clinical Features of Rheumatic Fever

1. Typically a child from a poverty stricken family.
2. Fever.
3. Migratory joint pains, affected joints are very tender, hot. Normally wrists, elbows, ankles and knees are involved.
4. Painless nodules may develop beneath the skin over elbows, knees and elbows.
5. In addition involuntary, jerky movements of muscles (Sydenham’s chorea) may develop.
6. Skin rash.
7. Inflammation of the heart (carditis) with involvement of the valves within the heart.

Management of Rheumatic Fever

1. Complete bed rest till attack subsides.
2. Pain killers, analgesics.
3. Admit patient to a hospital.

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