Which of the follow ing is not a major criteria for rheumatic fever-
Carditis
Arthralgia
Erythema marginatum
Subcutaneous nodule
Ans. is 'b' i.e., Arthralgia Guidelines for the Diagnosis of Initial Attack of Rheumatic Fever (Jones Criteria, Updated 1992)Major manfestationsMinor manfestationsSupporting evidence of antecedent group A Streptococal infectionCarditisClinical features:Positive throat culture or rapid streptococcal antigen testPolyarthritisArthralgia FeverElevated or increasing streptococcal antibody titerErythema marginatumLaboratory features: Subcutaneous nodulesElevated acute phase reactants : Erythrocyte sedimentation rate C-reactive protein Prolonged PR interval Chorea o From Jones criteria, updated 1992. JAMA 1992;268:2069-2073. Copyright American Medical Association.o The presence of 2 major or of 1 major and 2 minor manifestations indicates a high probability of acute rheumatic fever if supported by evidence of preceding group A streptococcal infection.
Rheumatic Heart Disease