title: Acute rheumatic fever in Wisconsin.
abstract: Medical records of patients discharged from Children's Hospital of Wisconsin from January 1980 to May 1988 who fulfilled the revised Jones criteria for acute rheumatic fever were reviewed. A total of 13 patients were hospitalized with a first attack of acute rheumatic fever during this period. Migratory polyarthritis was present in 92% of the patients and carditis in 62%. Mitral regurgitation was present in all cases of carditis. Only six patients (46%) had a history of a preceding streptococcal infection, half of whom were treated with antibiotics. While there is no evidence to support a new outbreak of acute rheumatic fever in Wisconsin, our data demonstrate that the disease is still prevalent within the eastern region of the state. Patients with Group A streptococcal pharyngitis must be identified and treated to prevent this disease from increasing in incidence.
authors.forename: M V
authors.initials: MV
authors.lastname: Tantengco
authors.forename: E
authors.initials: E
authors.lastname: Weinhouse
authors.forename: M
authors.initials: M
authors.lastname: Jarenwattananon
authors.forename: D B
authors.initials: DB
authors.lastname: Nudel
mesh_terms: D000208:Acute Disease; D006801:Humans; D012213:Rheumatic Fever / Q000175:diagnosis / Q000453:epidemiology*; D014922:Wisconsin