Rheumatic Fever, Acute Rheumatism - a disease that mainly affects children and young people; usually it is a complication of infectious processes of the upper respiratory tract as a result of their damage by hemolytic streptococcus (see Streptococcus). The main symptoms of the disease are: fever; arthritis moving from one joint to another; the appearance of red round spots on the skin; slight pain in the nodules that form over some bone processes, for example, the olecranon process of the same bone; the occurrence of abnormal involuntary movements of the limbs and head (Sydenham's chorea), myocarditis and inflammation of the heart valves and the pericardium surrounding the heart.
This disease can develop into chronic rheumatic heart disease, accompanied by the formation of characteristic scars in the myocardium and chronic inflammation of the heart and its valves, which leads to the development of heart failure in a person, the appearance of a heart murmur and damage to its valves.
The primary infection is treated with antibiotics (eg penicillin); the patient must remain in bed and take aspirin to reduce joint pain. After an acute attack of the disease, to prevent its relapse, such patients are usually recommended to undergo long-term maintenance therapy with penicillin.
Currently, acute rheumatism is becoming less common in developed countries; This is apparently due to the use of antibiotics to treat various infections.
Rheumatic fever.
Rheumatic fever, or rheumatic polyarthritis (rheumatic fever) is an acute inflammatory disease of the soft tissues of the heart. It is an infectious nonspecific inflammatory lesion of connective tissue in response to the introduction of streptococcus into the body.
As the infection spreads in the body, the symptoms expand from arthritis, cardiac crisis to common health problems: damage to the kidneys, nervous system, liver, spleen and lungs. Damage to the heart in rheumatic arthritis is manifested by fever, palpitations and shortness of breath. On average, up to 50% of children suffer each year, and a quarter of them are immune to this disease. Boys in the age group from 7 to 15 years old, girls and women aged 20-30 years are most often affected. The disease manifests itself with the same frequency in professional athletes,
Rheumatic fever and acute rheumatism are quite serious diseases that can lead to various complications. First of all, these diseases affect children and young adults, but it is never too late to seek help from specialists. One of the main symptoms of these diseases is temperature, which can rise to 40 degrees Celsius. There is also acute pain in the joints, redness, small red dots, itching and nodule formation. The person may feel weak, weak, and tired easily. The peculiarity of chronic rheumatic heart lesions is the formation of various symptoms, such as: heart murmur, shortness of breath, palpitations and fatigue. These symptoms may occur suddenly without any signs of illness. To prevent relapse, long-term treatment with antibiotics is recommended. If you consult a doctor in a timely manner, most cases of these diseases proceed safely, but advanced forms often lead to fatal consequences.
Rheumatic fever and acute rheumatism are diseases that primarily affect children and young people. They usually occur as a complication of infectious processes of the upper respiratory tract caused by damage to hemolytic streptococci.
Rheumatic fever is a systemic inflammatory disease of the connective tissue that causes fever, inflammation of the joints, redness of the skin and the appearance of a spot the same size as the joint. This is the most common type
Rheumatic fever (RHF) and acute rheumatism are two diseases that mainly affect children and adolescents. Both diseases can be consequences of upper respiratory tract infections, which are caused by hemolytic streptococci. Acute rheumatic syndrome is characterized by elevated body temperature, emerging arthralgia, as well as symptoms of Genter's chorea - motor and speech disorders, paresthesia. Poststreptococcal cardiovasculitis is a common companion to RFS and ORS, manifested by weakness, shortness of breath, pain in the left chest, and arrhythmias during ECG examination. Like acute streptoderma, rheumatic inflammatory processes worsen the outcome of any acute infectious disease after the action of the agent.
Some patients may develop signs of cardiovascular disease for several months after RFS. In particular, arrhythmias, hemodynamic perturbations, and cardiomegaly are indirect signs of rheumatic valve disease. Sometimes, even without the use of special equipment, it is possible to identify certain cardiac dysfunctions, since in some cases they have a characteristic picture. Signs of RR are caused by damage to the joints, the development of tenosynovitis, erosions and defects in the ribs, and decalcification. Stiffness in the cervical-collar area and discomfort when pressing on the sternum may persist. Percussion of the chest and auscultation may indicate signs of pneumonitis, thrombophlebitis, extracardiac wheezing, and heart failure. The presence of fever helps rule out tuberculosis, mycoplasma pneumonia, and Pneumocystis pneumonia. Some patients have intercostal neuralgia and pain along the nerves.
Regardless of the presence of a previous infection of the upper respiratory tract (primarily parenchymal and articular infection). Some patients have no indication of the influence of streptococcus or other agents.
Inflammation of the mucous membrane of the sinuses and upper respiratory tract is often a secondary complication in all forms of streptococcal infection and many others. Local infection of the larynx and pharynx, especially common in combination with pharyngitis, is the main cause of streptococci entering the bloodstream and the subsequent development of acute, recurrent or chronic rheumatic infection with cardiac, chorea, and joint symptoms. Infection of the tonsils, pharyngeal region, and pharynx is especially typical where mass vaccination of children is carried out, which well protects other patients, but does not completely eliminate hidden sources of infestation.