Diagnosis of Rheumatic Fever: Which Modification?

  • Bambang Madiyono Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Sudigdo Sastroasmoro Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Ismet N. Oesman Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Sukman Tulus Putra Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Najib Advani Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Keywords: rheumatic fever; rheumatic heart disease; fever; arthritis

Abstract

We evaluated the implementation of diagnostic criteria on 547 ambulatory patients with rheumatic fever (RF) and rheumatic heart disease (RHD) between January 1, 1983 and December 31, 1992. The diagnosis of RF and reactive RHD was established by either revised Jones criteria, modified Jones criteria, or clinical judgment The patient's age ranged from 4-18 years, 255 (46.6%) of them were boys. The clinical manifestations found were fever (58.1 %), arthritis (41.9%), chorea (8.6%), subcutaneous nodule (1.3%), erythema marginatum (1.1%), holosystolic murmur (56.9%), mid-diastolic murmur (25.4%), and early diastolic murmur (29.5%). The laboratory changes were hemoglobin <10 g/dl (16.5%), BSR > 20 mm/h (56.30/o), ASTO >200 U (29.6%), PR interval> 0.16 sec (13.3%), and erR> 0.55 (27.6%). Revised Jones criteria were met in 162 cases (29%), modified criteria in 474 cases (86,6%), and clinical judgment in 521 cases (95.2%).

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Published
2018-11-05
How to Cite
1.
Madiyono B, Sastroasmoro S, Oesman I, Putra S, Advani N. Diagnosis of Rheumatic Fever: Which Modification?. PI [Internet]. 5Nov.2018 [cited 21Jun.2024];34(5-6):141-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2023
Section
Pediatric Cardiology
Received 2018-11-05
Published 2018-11-05