title: [Rheumatic fever and post-streptococcal arthritis. Clinical review].
abstract: 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.
authors.affiliation: Unidad de Reumatología Pediátrica, Hospital Infantil La Paz, Madrid.
authors.forename: R
authors.initials: R
authors.lastname: Merino Muñoz
authors.forename: F
authors.initials: F
authors.lastname: Viota Losada
authors.forename: B
authors.initials: B
authors.lastname: Sancho Madrid
authors.forename: C
authors.initials: C
authors.lastname: Castro Gussoni
authors.forename: J
authors.initials: J
authors.lastname: García-Consuegra Molina
mesh_terms: 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
chemical_list: D000906:Antibodies; D000989:Antistreptolysin
vernacular_title: Fiebre reumática y artritis postestreptocócicas. Revisión clínica.