rheumatic fever

Question 1

causative organsim rheumative fever

Answer 1

GAS / strep pyogenes

in north of aus in ATSI communities - streptococcal pyoderma cause superficial infection

Question 2

timelime ARF

Answer 2

10D to 6 weeks post streptococcal inf

Question 3

dx of ARF

Answer 3

https://www.racgp.org.au/getattachment/a925385b-d01b-45fe-a4b7-1e96ccc5513b/Rheumatic-fever.aspx

Question 4

high risk populations for ARF

Answer 4

n individual is at high risk of developing acute rheumatic fever if they are younger than 40 years and any one of the following:

an Aboriginal and/or Torres Strait Islander person living in a rural or remote area
an Aboriginal and/or Torres Strait Islander person, or a Māori and/or Pacific person, living in a household affected by overcrowding or experiencing socioeconomic disadvantage
a person with a history of acute rheumatic fever or rheumatic heart disease
part of a family or household in which a member has a recent history of acute rheumatic fever or rheumatic heart disease.
For individuals younger than 40 years, but particularly between 5 and 20 years, other factors that could put them at high risk of developing acute rheumatic fever include:

living in a household affected by overcrowding and experiencing socioeconomic disadvantage
current or prior residence in, or frequent or recent travel to, an Australian setting with a high rate of acute rheumatic fever [Note 3]
current or prior residence in, or frequent or recent travel to, an international setting with a high rate of acute rheumatic fever (eg refugees, migrants) [Note 4].

Question 5

mng of ARF

Answer 5

abx: IM stat benzathine benzylpenicillin
NSAIDS for arthritis
ppx if severe, hx of cardiac valve surg or recurrent ARF despite tx

https://www.racgp.org.au/getattachment/a925385b-d01b-45fe-a4b7-1e96ccc5513b/Rheumatic-fever.aspx