Exempel på rheumatic fever

• Relation of the rheumatic fever recurrence rate per streptococcal infection to preexisting clinical features of the patients.

• In the author's opinion this syndrome is nothing more than good old-fashioned rheumatic fever.

• In this review, therefore, we discuss our experience acquired in the clinical aspects of rheumatic fever.

• The most common acquired lesion is rheumatic fever, which usually afflicts the mitral rather than the tricupsid valve.

• It is not yet clear whether these putative markers are genetic or induced by streptococcal infection as part of the pathogenesis of acute rheumatic fever.

• The cumulative incidence of acute rheumatic fever estimates the proportion of susceptible individuals in endemically exposed populations.

• The other manifestations of acute rheumatic fever besides carditis usually disappear without sequels.

• Because of the severe cardiac impairment produced by the disease, all efforts to include prophylaxis for rheumatic fever in public health programs are justified.

• In addition, mitral plus either aortic or tricuspid lesions are usually secondary to rheumatic fever.

• Susceptibility to rheumatic fever have been ascertained because of the poor quality of records in earlier years.

• These two categories often reach significant proportions, being several times the registered rates for acute rheumatic fever and chronic rheumatic heart disease.

• With such high rates of streptococcal acquisition it is possible that most susceptible people will eventually develop rheumatic fever.

• The rates for acute rheumatic fever are very low in relation to the expected figures considering their proportion of poverty.

• Of these, 8,100 were attributed to acute rheumatic fever and 61,002 to chronic disease, totalling 69,102 (or 1.08% of all deaths due to cardiovascular disease).

• Cardiac failure, acute rheumatic fever and thromboembolic disease were the most common causes of death in these young patients.