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Acute rheumatic fever: is it returning to Virginia?
1Department of Internal Medicine, Medical College of Virginia/Virginia Commonwealth University, Richmond.
Summary
Rheumatic fever, a serious complication of untreated strep throat, may be increasing in the US. This rise is suggested by an increase in pediatric cases, potentially indicating a resurgence in adults as well.
Area of Science:
- Rheumatology
- Infectious Diseases
- Pediatrics
Background:
- Rheumatic fever is an inflammatory condition that can affect the heart, joints, brain, and skin.
- It is a sequela of untreated group A streptococcal infections.
Observation:
- Recent trends suggest a potential increase in the incidence of rheumatic fever in the United States.
- This observation is supported by a notable rise in cases within the pediatric population.
Findings:
- The current case may represent a resurgence of acute rheumatic fever (ARF) in adults in Virginia.
- The rise in pediatric cases strengthens the likelihood of an adult resurgence.
Implications:
- Understanding the epidemiology of rheumatic fever is crucial for public health interventions.
- Early diagnosis and treatment of streptococcal infections are vital to prevent rheumatic fever.
- Further surveillance is needed to confirm the extent of rheumatic fever resurgence in both pediatric and adult populations.