Case Reports (1) Female, aged 17, had been treated for rheumatic fever 3 years ago, but it appeared to have been a mild attack, and she had been well since; 6 days before admission she had developed pain, stiffness, and swelling of both ankles, and the knees, hands, and shoulders also became involved; 3 days later she had sternal and interscapular pain with cough, and complained also of anorexi...