Studies on the occurrence of bacteremia in rheumatic fever

Marienfeld, Carl J.; Scheff, George J.; Hackett, Eloise; Jones, Daniel M.

doi:10.1016/0021-9681(59)90055-4

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Low-risk Populations Moderate and High-risk Populations1

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2024

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“…The patient was afebrile despite cultures growing GAS, which is unusual but observed in the literature. One report found that 12% of its nonfebrile participants had positive blood cultures [8]. This same study attributes the presence of bacteremia to disease acuity and lack of treatment.…”

Section: Low-risk Populations Moderate and High-risk Populationsmentioning

confidence: 83%

Distinguishing Acute Rheumatic Fever From Post-streptococcal Reactive Arthritis

Jeong,

Shekhar,

Mutyala

et al. 2024

Cureus

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We report an initial episode of post-streptococcal reactive arthritis (PRSA) in a 61-year-old male with group A streptococcal (GAS) bacteremia. The disease is commonly reported in young children and young adults. Additionally, this patient exemplifies the nonlinear boundaries of acute rheumatic fever (ARF) and PRSA, bringing into question whether they are truly distinct disease entities. These two conditions oftentimes present in similar fashions, making it difficult for clinicians to determine a specific diagnosis. We highlight the importance of recognizing ARF versus PRSA as an incorrect diagnosis can lead to the development of harmful complications including rheumatic heart disease (RHD).

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Section: Low-risk Populations Moderate and High-risk Populationsmentioning

confidence: 83%