Rheumatic fever is a disease of the connective tissue, characterized by Prairie cardiovascular system, skin and nervous system. Usually this illness experienced by young people aged 7-15 years. A prerequisite for the start of the pathological process is transferred streptococcal infection. Predisposing factors for the development of the pathology is called malnutrition.
In most cases, the signs of acute rheumatic fever occurs after some time recovering from a sore throat or pyodermia. The rising temperature, the deterioration of the General condition, pain and arthritis. Characterized by the involvement of large and medium joints. The small joints of the extremities are affected much less. Pain characterized by a migratory character. Usually, the inflammation of the joints lasts no more than 10 days.
It is established that the heart is affected simultaneously with the occurrence of arthritis. Cardiac symptoms in this disease is extremely diverse. The risk of rheumatic heart disease is effecting heart valve apparatus. It is worth Recalling that the valves are intracardiac structures which promote the proper direction of blood flow.
Acute rheumatic fever is observed shrinkage and destruction of the heart valves. Disturbed by their ability to the full open or tight closure. As a result, there is a formation of valvular defect.
Damage to the nervous system at the given pathology is rare. As a rule, it is more vulnerable children. Marked irritability, confusion, poor memory, rapid fatigue, etc.
This diagnosis is made based on clinical manifestations of the disease. Fact transferred streptococcal infection is a very important proof of this rheumatic disease.
Laboratory tests reveal an increased erythrocyte sedimentation rate and elevated levels of C-reactive protein.
In addition, to confirm the diagnosis using ECG and ultrasound examination of the heart.
The fight against this disease consists of strict adherence to the use of drugs that can eliminate the symptoms and prevent the development of repeated attacks.
The elimination of the etiological factor of the disease provides for the appointment of antibacterial drugs, penicillin (oxacillin, amoxicillin) and macrolides (erythromycin). After decreasing the activity of the pathological process, you must continue to use antibiotics for 5 years.
Important components of therapy are NSAIDs (ibuprofen). They reduce the activity of inflammatory phenomena. The duration of treatment and dosage of the drug is affected by the condition of the patient.
The purpose of diuretic drugs (furosemide) is shown with the water retention in the body.
For treatment of the formed heart defects using antiarrhythmic drugs, diuretics, nitrates, etc. In the presence of severe blemish is surgical intervention. We are talking about prosthetics or plastic diseased valve.
The task of prevention of this disease is timely and adequate treatment of infections caused by Streptococcus spp. With this purpose, use of antibiotics (penicillin). This treatment lasts for at least 10 days. To prevent repeated attacks of rheumatic fever, is applied extension. The drug is taken for 5 years.