Acute rheumatic fever is an autoimmune response to a previous group A beta-hemolytic streptococcal (GAS) infection causing acute generalized anti-inflammatory response primarily affecting the heart.
It often presents in patients 5-14 years of age and uncommon before 3 years and after 21 years of age.
Patients presenting with acute rheumatic fever are severely unwell, in extreme pain and requires hospitalization.

Surgical Intervention

  • Consider expert referral for surgery when heart failure (HF) persists or worsens after aggressive medical therapy for acute rheumatic fever (ARF)
  • Surgery to decrease valve insufficiency may be lifesaving
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