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Contents [hide] 1 Carditis 2 ASOT 3 critique 4 Jones Criteria 5 Scarlet Fever vs. Rheumatic Fever 6 Changes 7 Image 8 Need images of swelling and detail image of heart 9 No Brainer

[edit] Carditis

Carditis is the inflammation of all three layers of the heart - pericardium, myocardium and endocardium, and it is a common finding in Rheumatic Fever.--82.24.195.140 11:53, 18 July 2006 (UTC)Schwing.

–--82.24.195.140 11:53, 18 July 2006 (UTC)I am working on revising this article to better fit with the template Wikipedia:WikiProject Clinical medicine#Template. Also, subacute bacterial endocarditis while technically a subset of carditis is not related to rheumatic fever except as a possible sequelae. --DocJohnny 23:06, 31 December 2005 (UTC)

Still needs editing to remove repetition. --DocJohnny 00:20, 1 January 2006 (UTC)

[edit] ASOT

Diagnostic approach is probably useful to add, e.g. echocardiography, acute and convalescent antistreptolysin titres. Do we still use digoxin for congestive heart failure? JFW | T@lk 06:20, 1 January 2006 (UTC)

Good point. I never use digoxin on new patients, but it is mentioned in all the rheumatic fever articles. --DocJohnny 06:50, 1 January 2006 (UTC)

Two questions, is it contagous once someone has long term rheumatic fever? Is it contagous when your pregnant?

[edit] critique

Nice work. I don't recognize anything wrong. Two questions arose in my own mind as I read it:

• First paragraph on incidence seems confusing to me: statistical whipsaw. Each sentence seems to void the previous one. I would recommend a clearer statement of when rheumatic fever was at its height, what the approximate incidence was then, what the approximate incidence is now, whether there are major regional variations (Europe vs NA vs underdeveloped countries), whether antibiotic use in last 50 years was responsible for decreased incidence, and whether currently the incidence seems to be still diminishing or re-increasing.
• Clarify carditis. How is carditis different from myocarditis? Does it simply mean "myocarditis and/or pericarditis" or something more distinct? I think myocarditis is by far the more familiar term if they are synonymous. alteripse 19:36, 1 January 2006 (UTC)
• Myocarditis refers to myocytes, the myocardium proper. Carditis refers to a pancarditis, which would include endocarditis, myocarditis, and pericarditis, which are more specific regional and histological terms.

[edit] Jones Criteria

According to the 2004 Ferri's Clinical Advisor: Instant Diagnosis and Treatment, the Jones Criteria had been revised, so it states the following:

"Jones Criteria (revised) for Guidance in the Diagnosis of Rheumatic Fever" published by the American Heart Association. One major and two minor criteria if supported by evidence of an antecedent group A streptococcal infection.

- Major Criteria

 1. Increased titer of antistreptococcal antibodies such as ASO
 2. Positive throat culture
 3. Recent scarlet fever

- Minor Criteria

 1. Previous rheumatic fever or rheumatic heart disease
 2. Fever
 3. Arthralgia
 4. Increased acute-phase reactants
    a. ESR
    b. C-reactive protein
    c. Leukocytosis
 5. Prolonged P-R interval

[edit] Scarlet Fever vs. Rheumatic Fever

There appears to be a conflict between the entries for the two articles.

Under scarlet fever it says: "Antibiotic treatment is usually given. It has however never been shown to reduce the chance that rheumatic fever develops.

Under rheumatic fever it says: "The rate of development of rheumatic fever in individuals with untreated strep infection is estimated to be 3%. The rate of development is far lower in individuals who have received antibiotic treatment."

Speleothing 21:16, 1 October 2007 (UTC)

[edit] Changes

Just undid a few bits in the pathophysiology bit which were highly dubious and unsourced. Hope that's ok. 19th October 2007 —Preceding unsigned comment added by 89.168.30.147 (talk) 23:47, 18 October 2007 (UTC)

[edit] Image

I added an image of S. pyrogenes to the infobox. Please let me know if anybody thinks it's a poor choice. Rex Manning (talk) 20:40, 6 February 2009 (UTC)

It's better than nothing, but it would be nice to see an actual photoJohnfravolda (talk) 03:52, 24 September 2009 (UTC)

[edit] Need images of swelling and detail image of heart

Can someone put an image of swelling of how sever it can be? Also it would be good if there is marking on the image of the heart with comparison with normal heart. —Preceding unsigned comment added by 61.8.134.131 (talk) 06:55, 10 August 2009 (UTC)

[edit] No Brainer

The introduction says the disease can involve the brain, but there is no mention of the brain in the body of the article. —Preceding unsigned comment added by 89.100.82.102 (talk) 10:37, 4 June 2010 (UTC)