Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-29T17:12:00.790Z Has data issue: false hasContentIssue false
  • English
  • Français

Rheumatic fever

Published online by Cambridge University Press:  19 August 2008

Cleonice de Carvalho Coelho Mota  and
Zilda Maria Alves Meira
Cleonice de Carvalho Coelho Mota *
Affiliation:
Chief, Division of Cardiology and Cardiovascular Surgery, Hospital das Clínicas, Brazil
Zilda Maria Alves Meira
Affiliation:
Associate Professor of Paediatrics, Faculty of Medicine, Federal University of Minas Gerais, Brazil
*
C. de Carvalho Coelho Mota, Rua Cabrália 30/501 30240–080, Belo Horizonte, Brazil. Tel: (031) 225 28 36; Fax: (031) 282 5357.
Get access Rights & Permissions [Opens in a new window]

Abstract

In recent years, rheumatic fever has been declining in the industrialized countries, and has became a rare disease. In developing areas, nonetheless, the sequels of its cardiac involvement have important implications from the stance of public health, and this disease is still the main cause of heart disease in children and young adults. From a historical perspective, the long-term prevention and the control of socioeconomic problems have been proven to be effective, and it is these measures which have contributed to the decline of the disease in developed countries. But, due to its present high prevalence around the world, and the potential for his resurgence, this disease remains an unsolved problem. Furthermore, the complete understanding of its pathophysiology remains a challenge. In this presentation, we will discuss our experience with epidemiological, clinical and prophylatic aspects of this enigmatic disease, and the strategies we have developed to study and control heumatic fever in Minas Gerais, Brazil.

Keywords

Rheumatic feverrheumatic heart diseasestreptococcal infectionprevention
Type
Continuing Medical Education
Information
Cardiology in the Young , Volume 9 , Issue 3 , May 1999 , pp. 239 - 248
Copyright
Copyright © Cambridge University Press 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Bouillaud, JB. Nouvelles récherches sur le rheumatisme. Paris, 1836Google Scholar
2.Baillou, G. De rheumatismo, et pleuridite dorsali. Opuscular Medici Parisis. Quesnel, 164, 1642Google Scholar
3.Cheadle, WL. Various manifestations of the rheumatic state as exemplified in childhood and eatly life. London: Smith Helder, 1989Google Scholar
4.Acieno, LJ. The History of Cardiology. London: Parthenon Publishing, 1994; p758CrossRefGoogle Scholar
5.Markowitz, M, Kuttner, AG. Rheumatic fever-diagnosis, management and prevention: Major Problems in Clinical Pediatrics, Volume II. Philadelphia: W.B. Saunders Co, 1965; pp 15–25Google Scholar
6.Kaplan, EL, Markowitz, M. The fall and rise of rheumatic fever in the United States: a commentary. Int J Cardiol 1988; 21: 3–10Google Scholar
7.Mota, CCC, Meira, ZMA. Febre Reumática. In: Porto, C.C.: Doenças do coração: prevenção, tratamento e reabilitação, Rio de Janeiro: Guanabara Koogan 1997: pp.689–695Google Scholar
8.Bisno, AL. The resurgence of acute rheumatic fever in United States. Amer Rev Med 1990; 41: 319–329.CrossRefGoogle ScholarPubMed
9.Ferrieri, P. Editorial note: Acute rheumatic fever – the come back of a disappearing disease. AJDC 1987; 141: 725–727Google Scholar
10.Congeni, B, Rizzo, C, Congeni, J, Sreenivasan, VV. Outbreak of acute rheumatic fever in northeast Ohio. J Pediatr 1987; 176: 176–179Google Scholar
11.Wald, ER, Dashefsky, B, Feidt, C, Chiponis, D, Med, CNPN, Byers, C. Acute rheumatic fever in western Pennsylvania and Tristate area. Pediatrics 1987; 80: 371–374Google Scholar
12.Horsier, DM, Craenen, JM, Teske, DW, Wheller, JJ. Resurgence of acute rheumatic fever. AJDC 1987; 141: 730–733Google Scholar
13.Veasy, LG, Tani, LY, Hill, HR. Persistence of acute rheumatic fever in the intermountain area of the United states. J Pediatr 1994; 124: 9–16Google Scholar
14.Achutti, A, Achutti, VR. Epidemiology of rheumatic fever in the developing world. Cardiol Young 1992; 206–215CrossRefGoogle Scholar
15.Stollerman, GH. Rheumatic fever. Lancet 1997; 349: 935–942.Google Scholar
16.Mota, CCC, Meira, ZMA, Oliveira, R. Febre reumática. In: Leão, E, Correa, A, EJ Viana, MB, Mota, JAC. Pediatria Ambulatorial, 3 edn.Belo Horizonte: COOPMED, 1998: pp633–641Google Scholar
17. Brazil – Ministério da Saúde – Doenças cardiovasculares no Brazil. Sistema Único de Saúde-SUS, Dados epidemiólogicos-Assistência médica. Brasília, 1993Google Scholar
18.Meira, ZMA, Castilho, SRT, Barros, MLB, Vitarelli, AN, Capanema, FD, Moreira, NSPC, Camargos, PAM, Mota, CCC. Prevalência de febre reum´tica em crianças de uma escola da rede pública de Belo Horizonte. Arq Bras Cardiol 1995; 65: 221–224Google Scholar
19.American Heart Association. Guidelines for the diagnosis of rheumatic fever: Jones criteria, 1992 update. JAMA 1992; 268: 2069–2073Google Scholar
20.Marcus, RH, Sareli, P, Pocock, WA, Barlow, JB. The spectrum of severe rheumatic mitral valve disease in the developing country: correlations among clinical presentation, surgical pathologic findings, and hemodynamic sequalae. Ann Intern Med 1994; 120: 177–183CrossRefGoogle Scholar
21.Decourt, LV. Doença reumática. São Paulo: Sarvier, 1972: pp169–176Google Scholar
22.Mota, CCC, Meira, ZMA. Cardite Reumática. In: Porto, CC.: Doenças do coração: prevenção, tratamento e reabilitação, Rio de Janeiro: Guanabara Koogan, 1998: pp696–702Google Scholar
23.Cardoso, F, Silva, CEAP, Mota, CCC. Chorea in fifty consecutive patients with rheumatic fever. Movement Disorder 1997; 12: 701–703CrossRefGoogle ScholarPubMed
24.Ty, ET, Ortiz, EE. M-mode, cross-sectional and color flow Doppler echocardiographic findings in acute rheumatic fever. Cardiol Young 1992; 2: 229–235CrossRefGoogle Scholar
25.Folger, GM Jr, Hajar, R, Robida, A, Hajar, HA. Occurence of valvar heart disease in acute rheumatic fever without evident carditis: colour-flow Doppler identification. Br Heart J 1992; 67; 434–438CrossRefGoogle Scholar
26.Meira, ZMA, Mota, CCC, Tonelli, E, Nunan, EA, Moreira, NSPC, Mitre, AMCM. Evaluation of secondary prophylactic schemes based on benzathine penicillin G for rheumatic fever in children. J Pediatr 1993; 123: 156–157Google Scholar
27.Mota, CCC, Meira, ZMA, Graciano, RN, Silva, Mc. Diagnostic aspects of streptococcal infections carditis and other acute forms. Cardiology Young 1992; 2: 222–228CrossRefGoogle Scholar
28.McLaren, MJ, Markowitz, M, Gerber, MA. Rheumatic heart disease in developing countries: the consequence of inadequate prevention. Ann Intern Med 1994; 120: 243–245Google Scholar
29.Guilherme, L, Weidebach, W, Kalil, J. Association of human leukocyte class II antigens with rheumatic fever or rheumatic heart disease in a Brazilian population. Circulation 1991; 83: 1995–1998CrossRefGoogle ScholarPubMed