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[Rheumatic fever].

V Gerloni1, M Gattinara, M Murelli

  • 1Cattedra di Reumatologia dell'Università di Milano, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|September 1, 1990
PubMed
Summary
This summary is machine-generated.

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Rheumatic fever (RF) is resurging in some developed nations, including Italy, with milder symptoms but potential for lasting heart damage. This trend may stem from decreased streptococcal infection prevention due to a false sense of security.

Area of Science:

  • Pediatrics
  • Cardiology
  • Infectious Diseases

Context:

  • Rheumatic fever (RF) incidence declined in the mid-20th century but resurged in the US in the 1980s.
  • A similar trend of increasing RF cases is observed in Italy, despite no documented outbreak.
  • This resurgence occurs despite RF being considered less of a risk in developed countries.

Purpose:

  • To analyze the recent trend of rheumatic fever cases in Italy.
  • To describe the clinical presentation and outcomes of these cases.
  • To investigate potential factors contributing to the observed increase in RF incidence.

Summary:

  • An increasing number of children with rheumatic fever (RF) have been observed in Milan, Italy.
  • Most cases presented with milder symptoms, including arthralgia rather than overt arthritis, but met revised Jones' criteria.

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  • Rheumatic carditis affected over a third of patients, with most experiencing mild residual valvular heart disease.

    • Impact:

    • Rheumatic fever remains a significant cause of permanent valvular heart damage in children.
    • The findings suggest that reduced primary prophylaxis against streptococcal infections may be contributing to the rise in RF.
    • This highlights the continued importance of RF prevention strategies even in developed countries.