Acute rheumatic fever
this is a disease in which there is systemic inflammation of the connective tissue localization of the pathological process directly in the shell of the heart.
The inflammation causes hemolytic Streptococcus group A.
The factors in the emergence and further development of rheumatic fever which is very important for the ability to provide prevention, also includes the presence of rheumatism or diffuse connective tissue diseases, and congenital inferiority of connective tissue that occurs in the immediate family, exposure to acute streptococcal infection and frequent nasopharyngeal infections.
The disease is practically unaffected children up to three years. Fever develops in predisposed to it individuals mainly in the age from seven till fifteen years. Also, it is more prone to women.
Mostly acute rheumatic fever, especially the first time it happens even during the school years, just one or two weeks after acute illness or in connection with the aggravated of chronic streptococcal infection (tonsillitis, pharyngitis). Then the fever begins latent period, which lasts from one to three weeks.
At this time, the disease progresses without any symptoms and a slight indisposition. The next stage of the disease is manifested by severe clinical picture, characterized by carditis, polyarthritis. Such diseases are accompanied by pain and unpleasant sensations in the heart area, shortness of breath, palpitations, tachycardia, murmur at the apex of the heart.
During the first ten days the patient is subject to easy the disease must adhere to polupostelny mode, and during the bright of severe severity should observe strict bed rest.
Required, to direct treatment of fever, is the reorganization of all existing infections (tonsillitis, streptococcal, and so on).
With regard to medical treatment, Antirheumatic drugs include penicillin. The healing properties of glucocorticoids in acute rheumatic fever are also effective.