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RHEUMATIC FEVER  RHEUMATIC FEVER 
RHEUMATIC FEVER 




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RHEUMATIC FEVER  RHEUMATIC FEVER 
RHEUMATIC FEVER 
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Rheumatic fever

Inflammatory complication of infections by estreptococos of the Group To, that it affects many parts of the body, specially the joints and the heart.

The infections by estreptococos are contagious, but not it rheumatic fever.

It affects a:

joints (arthritis),

heart and cardiac valves (all the layers can be seen affected),

skin (appearance of nodules)

and brain (some times).

Complications

Cardiac valves damaged permanently, which induces the congestivo cardiac failure.

Rarely, definitive cerebral sequels.

Deformation and destruction you will articulate.

Prognosis

It is possible to be cured with treatment.

In some cases, the rheumatic fever could damage the cardiac valves.

A damaged valve can be replaced with surgery (she is one of the most frequent causes available to valvular).

In counted cases, the rheumatic fever is fatal although it treats.

To call to the doctor if

During the treatment, the following symptoms arise:

Tumefacción in legs or back.

Jadeante breathing.

Vomits or diarrea.

Cough.

Severe abdominal pain.

Fever.

New symptoms appear inexplicable. The drugs for the treatment can produce indirect effect.

Diagnosis and treatment

Sanitary precautions

File and physical examination by a doctor.

Analysis of blood, culture of the secrecciones of throat and ECG.

X-rayses of thorax and heart.

Treatment

Domiciliary attention after the diagnosis (slight cases).

Hospitalization (serious cases).

General measures

Take the temperature and the pulse from the patient and anótelos for its doctor.

Use a nebulizador humidificador when to the patient it hurts the throat or tosa to him.

Medication

His doctor can prescribe to him:

Steroids (antiinflammatory drugs) or aspirin, to reduce the inflammation.

Diuréticos to reduce the liquid retention.

Antibiotics to eliminate any rest of bacterium estreptococo.

In the beginning, liquid or soft diet, that will progress to high a normal diet in proteins, calories and vitamins.

Factors of risk

Bad feeding.

Familiar history of rheumatic fever.

Life in hacinamiento or insalubridad.

Recurrent infections of throat by estreptococos.

Prevention

Ask for to its doctor a culture to detect the presence of estreptococos in the throat, specially in the infantile cases.

It must quickly follow a treatment with antibiotics in case of any infection by estreptococos, including those of the skin.

These infections must be dealt with antibiotics, generally penicillin, 10 DAYS BY ORAL ROUTE Or WITH an INJECTION Long play.

Signs and symptoms

Signs

Inflammation of the joints characterized by

Pain,

reddening,

tumefacción and heat,

that it can move of one to another joint.

It mainly affects wrists, elbows, knees or ankles.

The inflammation to articulate usually sends to the 10 or 14 days, but, without treatment, it can happen to other joints.

Symptoms

Fever, fatigue, pallor.

Loss of appetite, general malaise.

Abdominal pain, pain in the chest.

Slight cutaneous eruptions in chest, back and abdomen.

Small bulks, painless, underneath the skin in huesudas zones as elbows or knees.

If it affects the heart:

Jadeante breathing.

Retention of liquid with inflammation of legs and back.

Fast pulse, in position mainly knocked down.

Uncontrollable movements of arms and legs (Korea) when it affects the brain.

Causes

The rheumatic fever comes preceded by an infection by estreptococos, generally in the throat, happened of 1 to 6 weeks before the manifestation of the symptoms.

Probably autoinmune is an affection, where the produced antibodies to attack the bacterium also attack weaves of the joints or the heart.


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