Pediatric Rheumatic Fever Follow-up

Updated: Nov 22, 2021
  • Author: Thomas K Chin, MD; Chief Editor: Lawrence K Jung, MD  more...
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Follow-up

Further Outpatient Care

Patients with rheumatic fever (RF) usually demonstrate significant improvement after initiation of anti-inflammatory therapy; however, do not allow patients to resume full activities until all clinical symptoms and laboratory values have returned to normal.

Emphasize the importance of prophylaxis against recurrent streptococcal pharyngitis and rheumatic fever. Each recurrent episode of rheumatic carditis produces further valve damage and the likelihood of valve replacement. Patients should remain on antibiotic prophylaxis at least until the early third decade of life. Many physicians believe lifelong prophylaxis is appropriate.

Monitor patients routinely for the signs and symptoms of mitral stenosis, pulmonary hypertension, arrhythmia, and congestive heart failure (CHF).