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Paediatric Rheumatic Fever (PRF), also know and Acute Rheumatic Fever (ARF), is an abnormal immune reaction to group A streptococcal (strep) infections. This infection often occurs in the throat and may be known as strep throat. Some researchers believe that ARF may also occur after group A streptococcal (strep) infections of the skin. The exact immune mechanism of ARF is still being studied.
PRF is most commonly between the ages of 5 – 20 years, though episodes of PRF have been recorded in children as young as 3 years or in adults into their 30s.
Risk factors for ARF are generally considered in three main categories:
Symptoms of PRF usually begin two or three weeks after a strep infection. The most common symptoms of PRF are:
Symptoms of ARF usually last for one or two weeks. Abnormal movement symptoms may last for longer.
There are no specific blood tests or scans to test for PRF. Instead, doctors and health workers use lots of a different kind of information to decide whether someone has ARF. Once all the information has been gathered doctors can use guidelines to determine whether someone has ARF. Tests may include:
Some people with PRF will only require pain medicine for joint pain and fever. Symptoms of PRF usually begin to improve after a few weeks.
PRF can cause inflammation of the heart valves and muscle. This can cause heart failure when the heart is unable to pump blood effectively. In this case, people with bed rest may need medicines for heart failure and bed rest. A small number of people may need heart surgery for PRF.
The most important treatment of PRF is the prevention of further episodes to prevent the development of RHD. This is known as secondary prophylaxis usually means having regular antibiotic injections.
KIMS, one of the best paediatric cardiac hospitals in Hyderabad, has a complete and sophisticated treatment for paediatric rheumatic fever. Our best cardiac specialist for paediatrics in Hyderabad will treat the patients with a course of antibiotics, anti-inflammatory medications, and a period of bed rest (often between two and twelve weeks). To reach more people, our best paediatric heart doctors in Madhapur are always available to help your children recover with a smile.