Rheumatic fever is one of the complications associated with strep throat. The condition usually appears in children between the ages of 5 and 15, even though older children and adults have been known to contract the fever as well (Mayo).
Rheumatic fever is a relatively serious illness that, if left untreated, can cause stroke, permanent damage to your heart, and death. According to Medical News Today, rheumatic fever is still a common illness in places like sub-Saharan Africa, south central Asia, and certain populations in Australia and New Zealand (MNT).
The number one cause of rheumatic fever is strep throat. However, it has also been associated with scarlet fever. The body will sometimes attack its own tissues after its been infected with the strep throat bacteria. This reaction will cause widespread inflammation through the body that is the basis for all of the symptoms of rheumatic fever.
Rheumatic fever is a complication of strep throat. If your child has any of the following symptoms, a strep test is needed:
A wide variety of symptoms are associated with rheumatic fever. An individual with the illness could experience a few, some, or most of the symptoms below. Symptoms usually appear two to four weeks after your child has been diagnosed with strep throat.
Common symptoms include:
The following situations require that you seek medical advice and or attention:
The doctor will first want to get your childs medical history, including his or her current symptoms. The doctor will also want to know if your child has had a recent bout of strep throat. Next, a physical exam will be given that includes the following:
The most effective way to make sure that your child does not contract rheumatic fever is to make sure all strep bacteria are killed. In addition, doctors will treat the symptoms and control resulting inflammation. This can include any of the following.
Doctors will prescribe antibiotics and, on occasion, will prescribe a long-term (up to five-year) treatment to prevent reoccurrence.
Anti-inflammatory treatments include pain relief medications that are also anti-inflammatory, such as aspirin or naproxen. Doctors may also prescribe a corticosteroid (a class of drug that decreases inflammation).
Your doctor might prescribe an anticonvulsant if involuntary movements become too severe.
Doctors will also recommend bed rest and restricted activities until the major symptoms like pain and inflammation have passed. Your child might be placed on strict bed rest for a few weeks to a few months if the fever has caused heart problems.
Certain factors can increase the chances of your child developing rheumatic fever. These include:
The best way to prevent rheumatic fever is to fully treat all strep throat and scarlet fever infections. Make sure your child completes all prescribed doses of medication. In addition, schedule a follow-up visit to ensure that your child is free from the strep bacteria antibodies.
Once they develop, the symptoms of rheumatic fever can last for months. Rheumatic fever can cause long-term complications in certain situations. One of the most prevalent complications is rheumatic heart disease. Other heart conditions include:
The long-term effects of rheumatic fever can be disabling if your child had a severe case. Some of the damage caused by the illness might not show up until years later. Be aware of long-term effects as your child grows older. Children who suffer from the long-term damage related to rheumatic fever may be eligible for special education and other related services.