Clinical presentation of rheumatic fever in an endemic area

Cann, Megan P., Sive, Alan A., Norton, Robert E., McBride, William J.H., and Ketheesan, Natkunam (2010) Clinical presentation of rheumatic fever in an endemic area. Archives of Disease in Childhood, 95 (6). 455-457 .

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Abstract

This study documented whether patients diagnosed with Acute Rheumatic Fever (ARF) in North Queensland, Australia conformed to the 1992 Revised Jones Criteria (RJC). We aimed to determine whether inclusion of subclinical carditis (SCC) and monoarthritis as major manifestations and a low-grade temperature as a minor manifestation in the RJC are justified in this population. A retrospective review of patients in whom the diagnosis of ARF relied on the experience of clinicians and who were admitted to the Townsville and Cairns Base Hospitals between 1997 and 2007 was undertaken. Of the 98 cases reviewed, 71.4% satisfied the RJC. Modification of the RJC increased the rate of criteria satisfaction to 91.8%. On presentation, 27 patients had SCC. Of the patients with SCC followed up, 70.5% had long-term valvular consequences. In populations endemic for ARF, monoarthritis, SCC and a low-grade temperature should be included in the RJC

Item ID: 5665
Item Type: Article (Refereed Research - C1)
Keywords: rheumatic fever, rheumatic heart disease, Revised Jones Criteria, subclinical carditis, carditis
ISSN: 1468-2044
Funders: National Health and Medical Research Council
Date Deposited: 11 Feb 2010 22:38
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1107 Immunology > 110703 Autoimmunity @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 50%
92 HEALTH > 9203 Indigenous Health > 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes @ 25%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 25%
Citation Count from Web of Science Web of Science 4
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