[Rheumatic fever and post-streptococcal arthritis. Clinical review].
We report 11 patients diagnosed of Acute Rheumatic Fever (ARF), and 7 of Poststreptococcal Reactive Arthritis (PSRA): patients with group A beta hemolytic streptococcal infection and articular disease who do not fulfill the modified Jones criteria. All patients with ARF were treated with monthly prophylaxis (with penicillin G benzathine). Carditis was seen in five patients, but only one of them has developed a mitral valve insufficiency. The prophylaxis in patients with PSRA was individualized. None of these patients had clinical evidence of carditis during the acute disease, but one of them developed a mitral and aortic stenosis two years after the initial episode. The possible indication of penicillin prophylaxis in these patients with PSRA in suggested.
Merino Muñoz
R
R
Unidad de Reumatología Pediátrica, Hospital Infantil La Paz, Madrid.
Viota Losada
F
F
Sancho Madrid
B
B
Castro Gussoni
C
C
García-Consuegra Molina
J
J
D000906:Antibodies / Q000276:immunology; D000989:Antistreptolysin / Q000276:immunology; D001172:Arthritis, Rheumatoid / Q000276:immunology* / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D012213:Rheumatic Fever / Q000276:immunology* / Q000382:microbiology; D012214:Rheumatic Heart Disease / Q000276:immunology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications / Q000276:immunology* / Q000382:microbiology
D000906:Antibodies; D000989:Antistreptolysin
Fiebre reumática y artritis postestreptocócicas. Revisión clínica.