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Understanding Rheumatic Fever -- Diagnosis and Treatment

Reviewed by Carol DerSarkissian, MD on April 14, 2021

How Do I Find Out If I Have Rheumatic Fever?

To determine the presence of streptococcus bacteria, your doctor will do a throat culture. This uncomfortable but risk-free procedure involves swabbing a sample of throat mucus for lab analysis. It usually takes 24 hours to grow and analyze the culture. Some doctors also use a rapid strep test that can give results in about five minutes, but it isn't as accurate as the culture.

 

Your doctor will also give you a complete exam, listening to your heart for evidence of heart valve malfunction -- which will create a heart sound called a heart "murmur" -- and looking for other telltale symptoms, such as arthritis in more than one joint and the small nodules that often appear on the joints, especially the elbows.

What Are the Treatments for Rheumatic Fever?

Appropriate, often long-term, conventional treatment can greatly lessen the risk of heart disease and other health problems associated with rheumatic fever. Alternative treatments serve as complements to conventional care -- helping to ease symptoms of the illness and helping to avoid recurrent attacks.

Continued

 

Your doctor will prescribe rest and penicillin or other antibiotics to get rid of the streptococcal organisms. To prevent a recurrence of the illness, you may be put on a long-term prescription of antibiotics. For fever, inflammation, arthritic joint pain, and other symptoms, you may be given aspirin or another anti-inflammatory, such as ibuprofen or naproxen, and perhaps a corticosteroid. If you have developed rheumatic heart disease, it will also be important to take antibiotics at certain times -- such as before dental procedures or surgery -- which may accidentally introduce bacteria into the blood, to prevent a recurrence of heart valve inflammation. If inflammation to the heart is severe, surgery may eventually be necessary to repair damage to the heart valves to prevent heart failure.

 

 

WebMD Medical Reference

Sources

SOURCES: 

 

Braunbald, E. (editor). Harrison's Principles of Internal Medicine, 16th Edition, McGraw-Hill, July 23, 2004. 

 

Behrman, R. et al, Nelson Essentials of Pediatrics, W.B. Saunders Company, 4th edition, January 15, 2002.

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