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Rheumatic fever. The relationships between host, microbe, and genetics
A Gibofsky1, S Kerwar, J B Zabriskie
1Hospital for Special Surgery, Cornell University Medical College, New York, New York, USA.
Abstract:
Acute rheumatic fever is a delayed, nonsuppurative sequela of a pharyngeal infection with the group A streptococcus. The onset of the disease is usually characterized by an acute febrile illness; however, there may be chronic involvement of the heart and/or central nervous system. The article explores the relationship between the initial infection and host-microbial interactions that may be operative in disease pathogenesis.
Insights
Acute rheumatic fever, a delayed complication of group A streptococcus pharyngeal infections, can cause acute illness or chronic heart and nervous system issues. This study examines the link between initial infection and host-microbial interactions in disease development.
Area of Science:
- Rheumatology
- Infectious Diseases
- Immunology
Background:
- Acute rheumatic fever (ARF) is a significant sequela of group A streptococcus (GAS) pharyngeal infections.
- ARF can manifest as acute febrile illness or lead to chronic cardiac and central nervous system (CNS) complications.
Purpose of the Study:
- To explore the pathogenesis of acute rheumatic fever.
- To investigate the relationship between the initial GAS infection and host-microbial interactions.
Main Methods:
- Review of existing literature on ARF and GAS infections.
- Analysis of host-microbial interactions in the context of ARF development.
Main Results:
- The pathogenesis of ARF involves complex interactions between GAS and the host immune system.
- Specific microbial components and host responses are implicated in the development of ARF and its sequelae.
Conclusions:
- Understanding host-microbial interactions is crucial for elucidating ARF pathogenesis.
- Further research into these interactions may reveal novel therapeutic targets for preventing or treating ARF and its chronic manifestations.
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