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Jones criteria for rheumatic fever

Diagnosis: 1) major manifestations - carditis - polyarthritis - chorea - erythema marginatum - subcutaneous nodules 2) minor manifestations - signs/symptoms - arthralgia - fever - laboratory - increased erythrocyte sedimentation rate (ESR) - increased C-reactive protein (CRP) - EKG: prolonged PR interval 3) evidence of antecedent group A streptococcal infection - positive throat culture or rapid streptococcal antigen test - elevated or rising streptococcal antigen titer Laboratory evidence of antecedent group A streptococcal infection plus 2 major manifestations or 1 major manifestation plus 2 minor manifestations indicates a high probability of rheumatic fever. Ref [2] would suggest laboratory evidence of streptococcal infection not necessary for antibiotic prophylaxis.

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rheumatic fever

General

criteria

References

  1. Harrison's Principles of Internal Medicine, 13th ed. Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 1048
  2. Medical Knowledge Self Assessment Program (MKSAP) 14, American College of Physicians, Philadelphia 2006