Introduction Rheumatic fever is a sequel of an immunological disorder initiated by group A beta haemolytic streptococcus (1). It continues to be a major problem in Pediatric population and is one of the leading causes of heart disease in children in the developing countries. The commonest age group involved is 5-15 years (2). Genetic predisposition and overcrowding associated with low socio-eco...

2. Markowitz, M.: Eradication of rheumatic fever. An unfulfilled hope. Circulation, 41:1077, 1970. 3. Czoniczer, C., Lees, M., and Massell, B. F: Streptococcal infection. The need for improved recognition and treatment for the prevention of rheumatic fever. New Eng. J. Med., 265:951, 1961. 4. Grossman, B. J., and Stamler, J.: Potential preventability of first attacks of acute rheumatic fever in...

The levels of streptococcal antibody titers in populations with or without rheumatic fever from an area with a relatively high incidence of rheumatic fever and an area with a low incidence of this disease were compared. Streptococcal antibody titers were determined for two populations, each of which included children without rheumatic fever (nonrheumatic children) and rheumatic fever patients. ...

There is an increasing occurrence of reactive group A ,1 haemolytic streptococci (BHS) phenomena. This review makes a case for consideringBHS in the differential diagnosis of adult reactive arthritis. This is based on (a) published reports over the past 45 years describing first attacks of rheumatic fever in adults; (b) the longstanding observation that polyarthritis is the most commonly expres...

STUDY OBJECTIVE The aim was to determine the prevalence of rheumatic fever and rheumatic heart disease and to initiate a programme of secondary prophylaxis in Sahafa Town, Sudan. DESIGN The study was a prospective case finding survey, carried out by a specially trained team headed by a cardiologist. SETTING The study involved high risk school children (5-15 years of age) from Sahafa Town in...

tp://dx.doi.org/10.1016/j.wjorl.20 95-8811/Copyright a 2017 Chinese d. This is an open access article un Tonsillectomy and adenoidectomy were developed hundreds of years ago, but they enjoyed wide popularity beginning in the early 20th century as a preventive treatment of Group A beta-hemolytic streptococcal (GABHS) pharyngotonsillitis and its feared complication rheumatic heart disease. During...

Over diagnosis of acute rheumatic fever (ARF) based on a raised antistreptolysin O titer (ASOT) is not uncommon in endemic areas. In this study, 660 children (aged 9.2 ±1.7 years) were recruited consecutively and classified as: G1 (control group, n=200 healthy children), G2 (n=20 with ARF 1(st) attack), G3 (n=40 with recurrent ARF), G4 (n=100 with rheumatic heart disease (RHD) on long acting pe...

EPISODES of acute rheumatic fever are believed to be triggered by infections with group-A /3-hemolytic streptococei, 10 to 35 days prior to the rheumatic complication. However, both rheumatic fever and rheumatic heart disease are infrequent in Miami, Florida.1' 2 If the incidence rate of rheumatic disease depends on the frequeney of group A streptococei, the low rheumatic rate in Miamni should ...

In Lagos 12 755 schoolchildren aged between six and 12 years were screened for evidence of rheumatic heart disease and showed a prevalence rate of 0.03%. Group C (27.7%) and group G (47.3%) predominated in the throat and in cases of pharyngitis, while group A predominated on the skin. Two hundred and sixty-six cases of pharyngitis were recorded, 70 (26.4%) were positive for beta-haemolytic stre...

The diagnosis of acute rheumatic fever is a clinical challenge and depends on the possibility of the disease being borne in mind. Although the complete eradication of rheumatic fever from the Western world has not been achieved, the disease is often forgotten in the differential diagnosis of a patient with fever and polyarthralgia or arthritis. Rheumatic fever remains an important acquired card...