🦠microbiology review

Acute rheumatic fever

Written by the Fiveable Content Team • Last updated September 2025
Written by the Fiveable Content Team • Last updated September 2025

Definition

Acute rheumatic fever is an inflammatory disease that can develop as a complication of untreated or poorly treated Streptococcus pyogenes throat infections. It primarily affects the heart, joints, skin, and brain.

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5 Must Know Facts For Your Next Test

  1. Acute rheumatic fever typically follows group A Streptococcus pharyngitis by about 2-4 weeks.
  2. It is diagnosed based on the Jones criteria, which include major and minor clinical findings such as carditis, arthritis, and fever.
  3. The pathogenesis involves molecular mimicry where antibodies against Streptococcus bacteria cross-react with human tissues.
  4. Preventing acute rheumatic fever hinges on prompt antibiotic treatment of streptococcal throat infections.
  5. Long-term complications can include chronic rheumatic heart disease, which may require surgical intervention.

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