Summary
The incidence of pediatric acute rheumatic fever in the United States appears to range from 0.51 to 0.77 per 100,000 children and physicians should consider the diagnosis in the right clinical setting.
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ACEP Now: Vol 42 – No 09 – September 2023Dr. Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington.
Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.
References
- Ilgenfritz S, Dowlatshahi C, Salkind A. Acute rheumatic fever: case report and review for emergency physicians. J Emerg Med. 2013;45(4):e103-6.
- de Loizaga SR, Beaton AZ. Rheumatic fever and rheumatic heart disease in the United States. Pediatr Ann. 2021;50(3):e98-e104.
- Gewitz MH, Baltimore RS, Tani LY, et al. Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation. 2015;131(20):1806-18.
- Bland EF. Rheumatic fever: the way it was. Circulation. 1987;76(6):1190-5.
- Bradley-Hewitt T, Longenecker CT, Nikomo V, et al. Trends and presentation patterns of acute rheumatic fever hospitalizations in the United States. Cardiol Young. 2019;29(11):1387-1390.
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