ACUTE RHEUMATIC FEVER IN THE XXI CENTURY: PROBLEMS AND SEARCH FOR SOLUTIONS
https://doi.org/10.21518/2079-701X-2016-9-96-101
Abstract
Acute rheumatic fever (ARF) remains a healthcare challenge. The global burden of ARF in children aged 5–14 years totals 336 thousand of new cases annually. The main symptom of ARF is carditis which determines the severity and outcome of the disease. Heart involvement in the form of isolated myocarditis without valvulitis is not regarded as typical of rheumatic fever. It should be borne in mind that post-streptococcal rheumatic myocarditis may also develop. No less important is the problem of neurological disorders in ARF including PANDAS syndrome. Analysis of the updated (2015) diagnostic Jones criteria showed that their application in Russia is problematic due to large inter-regional differences in the frequency of ARF. Amendments to the existing Russian classification and nomenclature of ARF seem untimely. Adequate primary prevention of rheumatic fever is still based on timely diagnosis and rational antimicrobial therapy of GABHS - tonsillitis/pharyngitis.
About the Authors
B. S. BELOV
Research Institute of Rheumatology named after V.A. Nasonova, Moscow
Russian Federation
MD
Russian Federation
MD
N. N. KUZMINA
Research Institute of Rheumatology named after V.A. Nasonova, Moscow
Russian Federation
MD, Prof.
Russian Federation
MD, Prof.
L. G. MEDYNTSEVA
Research Institute of Rheumatology named after V.A. Nasonova, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
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Review
For citations:
BELOV BS, KUZMINA NN, MEDYNTSEVA LG. ACUTE RHEUMATIC FEVER IN THE XXI CENTURY: PROBLEMS AND SEARCH FOR SOLUTIONS. Meditsinskiy sovet = Medical Council. 2016;(9):96-101. (In Russ.) https://doi.org/10.21518/2079-701X-2016-9-96-101
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