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Rheumatic fever is an acute or subacute pyrexial illness with systemic effects and widespread inflammatory lesions in the connective tissues involving the joints, heart, blood vessels and hypodermis. It was previously the commonest cause of heart disease in patients Under 50 years of age (Stollerman 1975). There has been a dramatic decline in the incidence and prevalence of the disease in the developed countries (Rammelkamp et al. 1952). This is more likely to have been caused by socio-economic improvements in nutrition and housing with a resulting benefit in general health rather than by advances in medical treatment (Gordis 1973).
KeywordsRheumatic Fever Rheumatic Heart Disease Streptococcal Infection Diastolic Murmur Antirheumatic Therapy
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