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Rheumatic Fever: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Rheumatic fever is a serious condition that develops due to some throat infection and is caused by Streptococcus pyogenes. Rheumatic fever is one of the primary causes of rheumatic heart disease. Children and young people can suffer from irresistible valve damage, carditis and even heart failure if they are suffering from this disease. The streptococcus pyogenes is a species of Gram-positive bacteria that can have an especially harmful effect on children. This bacteria cause our body to attack its own self and this causes widespread inflammation. All other symptoms that a person experiences as a result of this condition are primarily due to the inflammation. This is, thus, an inflammatory disorder that can cause a person to suffer from scarlet fever and throat infection.

The treatment involves the healing of the Streptococcus pyogenes with the help of antibiotics. Antibiotics help to lower the risk of further infection from the Streptococcus pyogenes bacteria. The medication thus prevents damage to the heart valves and thus helps to control and prevent rheumatic fever. Thus, this also reduces the chances of a person developing rheumatic heart disease. Heart valve surgery to replace the damaged valves can be avoided by using secondary prophylaxis antibiotics.

The presence of Group A Streptococcus (GAS) infections in the pharynx is the most important cause of rheumatic fever. Thus, the treatment for this condition requires the treatment for GAS pharyngitis. Intramuscular penicillin G benzathine, oral penicillin V potassium and oral amoxicillin are the anti-microbial agents that are generally used. However, people with recurrent rheumatic fever and corresponding rheumatic heart disease should go for prophylaxis.

How is the treatment done?

People who have a history of suffering from rheumatic fever and who have or who are developing symptoms of rheumatic heart disease need to undergo continuous prophylaxis. It is of utmost importance to begin the treatment as soon as a person is diagnosed with acute rheumatic heart disease or rheumatic fever. A doctor will determine the treatment and how to administer drugs to a patient based on the medical condition of the patient and how he/she reacts to the treatment. Factors like patient’s age, date of the last attack and how severe is the rheumatic heart disease are some on which the duration of secondary prophylaxis depends.

Research has shown that when a patient suffering from this condition will find substantial improvement in his/her condition when he/she is administered with 1,20,000 units of benzyl-benzathine penicillin every three weeks. This intramuscular injection of repository penicillin is the most effective treatment for this illness. A person who will administer this drug into a patient’s body needs to be well-trained in the technique of giving injections as this drug needs to be administered deep into the muscles. A person who is not well-trained in administering injections may inject the drug in the subcutaneous tissue and this result in lower serum levels and also cause decreased absorption. Those people who cannot be given repeated or regular injections of benzathine benzylpenicillin are normally given Oral phenoxymethyl penicillin.

Who is eligible for the treatment? (When is the treatment done?)

Streptococcus bacteria mostly affect children. A doctor will look for some symptoms before diagnosing a child to be suffering from rheumatic fever. Some of the symptoms include rashes, bloody and thick discharge from the nose, a body temperature of 101 degrees Fahrenheit or more, lymph nodes that are swollen and tender and difficulty in swallowing. Other symptoms may include headache, vomiting, swollen tonsils, small and red spots on the roof of the mouth and nausea.

Who is not eligible for the treatment?

A person who is not suffering from the infection caused by the A Streptococcus bacteria is not eligible for treatment. A person who has not suffered from any of the symptoms associated with rheumatic fever is usually not eligible for treatment. People allergic to penicillin are usually provided with alternative treatments. A person’s medical history and compatibility with the medications are also determining factors in deciding whether a person is eligible or not.

Are there any side effects?

The usual side-effects of using repository penicillin for the treatment of rheumatic fever are nausea, vomiting and pain at the site of the injection. Pregnant women should take special care and always consult a doctor before consuming the repository penicillin drug. This is because the drug passes on to breast milk and thus can be detrimental for a newborn child. Further complications may arise if the drug that is administered interacts other antibiotics that a person is on.

What are the post-treatment guidelines?

Mostly children are affected with rheumatic fever. Even after a person has undergone treatment, he/she needs to be hygienic so as to ensure that the bacteria does not infect that person again. A person should cover his/her mouth while coughing or sneezing, wash his/her hands properly, avoid contact with sick people and also to avoid sharing personal items with people who are sick.A person who has been affected by a chronic form of rheumatic fever may need to take penicillin or an equivalent antibiotic for a few years. He or she would also be better off by avoiding carbonated and caffeinated drinks, alcohol and spicy foods.

How long does it take to recover?

The duration of rheumatic fever generally depends on how severely the heart has been affected by disease. However, this ailment can last for 6 weeks to a few months. It is important to diagnose the condition effectively and administer the relevant drugs in an effective manner. the heart muscles get affected and the heart’s ability to pump blood is jeopardized in case of acute rheumatic fever. As the heart valves get affected, a person will require some time to recover from rheumatic heart disease.

What is the price of the treatment in India?

Penicillin injections that are required to be administered to a person suffering from rheumatic fever are not very costly. The duration of the rheumatic fever will determine the total cost of the treatment. The cost of the repository penicillin to treat rheumatic fever costs something around Rs 90000 for 10 syringes. The surgical procedure to treat damaged valves of the heart may cost between Rs 150000 and Rs 350000. The treatment will depend on the severity of the condition and also on the health of the person concerned.

Are the results of the treatment permanent?

An attack of rheumatic fever usually takes a few weeks or a few months to subside. A child suffering from rheumatic heart disease may never make a full recovery. He/she would have to deal with this condition throughout his/her life. A child may suffer from rheumatic fever more than once. In such a scenario, the child requires to be on antibiotics for a longer period of time to prevent recurrence of this attack.

What are the alternatives to the treatment?

Rheumatic fever can be treated with a number of natural remedies. Herbal tea prepared from dandelion leaf helps to treat rheumatic fever. Drinking Echinacea tea helps to strengthen the immune system and thus helps to prevent rheumatic fever. A mix of asparagus, fenugreek and black cumin and carom seeds helps to reduce the swelling and speeds up the healing process. In addition, ginger has anti-inflammatory properties and so helps to cure rheumatic fever from roots. Garlic also helps to fight rheumatic fever due to its anti-fungal properties.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 10000 - Rs 400000

Popular Health Tips

Rheumatic Fever in Kids - How It Impacts Your Child?

M.D(Pediatrics), MBBS
Pediatrician, Rewari
Rheumatic Fever in Kids - How It Impacts Your Child?

Rheumatic fever is a kind of autoimmune ailment that can occur as a result of group A streptococcal throat infection leading to inflammatory lesions in the connective tissues of the body. This disease specifically affects the joints, heart, blood vessels and various subcutaneous tissues located all over the body.

History of the effects of rheumatic fever:
The disease has been evaluated and depicted since the 1500s, though the connection between the rheumatic fever, and the throat infection was not found out until it was late 1880s. And the sore throat was also related to the rash, which is caused by streptococcal exotoxins, along with fever. Rheumatic fever was one of the leading causes of deaths in children as well as one of most common reasons behind the acquired heart diseases in adults before the invention and availability of penicillin.

Reasons behind the causes of rheumatic fever:
Even though adolescents and adults may be affected by the rheumatic fever, it mostly affects children aged between 5 to 15 years. It is a common disease in areas like South-Central Asia, sub-Saharan Africa and several parts of New Zealand and Australia. Group A streptococcus bacterium is the primary cause of this fever, and it also leads to scarlet fever in some people. It makes the body attack its own tissues once it has been attacked by the bacteria. This particular reaction leads to widespread inflammation throughout the body and forms the basis of all the common symptoms of the rheumatic fever.

You may have to take your child for the strep test if you notice any of the following symptoms:

  1. A sore throat and red rashes all across or in certain parts of the body.
  2. If your child has tender or swollen lymph nodes that are causing difficulty in swallowing.
  3. Tonsils that are filled with pus or red and swollen.

Harmful impacts of the rheumatic fever:

Developed mostly due to strep throat infection, it can affect the heart, skin, joints and nervous system of children. Though it may not affect all who have gone through a strep throat infection, it can lead to long-term diseases of the heart and its valves and is termed as a rheumatic heart disease. Since each attack of rheumatic fever may cause further damage to the heart, it is very crucial to make sure that your child doesn’t have one more attack of the fever, and it is therefore, important to have regular doses of penicillin injections and consult a specialist for receiving further advice on treatments and prevention.

2436 people found this helpful

Harmful Impacts Of Rheumatic Fever In Children!

MD - Paediatrics, MBBS Bachelor of Medicine and Bachelor of Surgery
Pediatrician, Chandrapur
Harmful Impacts Of Rheumatic Fever In Children!

Rheumatic fever is a kind of autoimmune ailment that can occur as a result of group A streptococcal throat infection leading to inflammatory lesions in the connective tissues of the body. This disease specifically affects the joints, heart, blood vessels and various subcutaneous tissues located all over the body.

History of the effects of rheumatic fever:
The disease has been evaluated and depicted since the 1500s, though the connection between the rheumatic fever, and the throat infection was not found out until it was late 1880s. And the sore throat was also related to the rash, which is caused by streptococcal exotoxins, along with fever. Rheumatic fever was one of the leading causes of deaths in children as well as one of most common reasons behind the acquired heart diseases in adults before the invention and availability of penicillin.

Reasons behind the causes of rheumatic fever:
Even though adolescents and adults may be affected by the rheumatic fever, it mostly affects children aged between 5 to 15 years. It is a common disease in areas like South-Central Asia, sub-Saharan Africa and several parts of New Zealand and Australia. Group A streptococcus bacterium is the primary cause of this fever, and it also leads to scarlet fever in some people. It makes the body attack its own tissues once it has been attacked by the bacteria. This particular reaction leads to widespread inflammation throughout the body and forms the basis of all the common symptoms of the rheumatic fever.

You may have to take your child for the strep test if you notice any of the following symptoms:

  1. A sore throat and red rashes all across or in certain parts of the body.
  2. If your child has tender or swollen lymph nodes that are causing difficulty in swallowing.
  3. Tonsils that are filled with pus or red and swollen.

Harmful impacts of the rheumatic fever:

Developed mostly due to strep throat infection, it can affect the heart, skin, joints and nervous system of children. Though it may not affect all who have gone through a strep throat infection, it can lead to long-term diseases of the heart and its valves and is termed as a rheumatic heart disease. Since each attack of rheumatic fever may cause further damage to the heart, it is very crucial to make sure that your child doesn’t have one more attack of the fever, and it is therefore, important to have regular doses of penicillin injections and consult a specialist for receiving further advice on treatments and prevention. In case you have a concern or query you can always consult an expert & get answers to your questions!

2460 people found this helpful

Popular Questions & Answers

My wife had rheumatic fewer when she was 14 years old. Dr. diagnosed her with leaky valves. She undergone balloon therapy that time. She now sometimes has low bp and shortness of breath that's it. No further symptoms I just want to know how homeopathy treatment wil work on her.

NCCH & MCH
Homeopath, Kolkata
Dear user it will much better if she opts for Homeopathic treatment which will resolve most of her issue and without any further symptomatic complaints ever.
1 person found this helpful

I am Suffering From Aso Titre disease My Age is 17 years When I test my Blood After That my Result Show Aso Titre 1: 400 Sir Please Suggest me which type of Food will avoid please tell.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi lybrate-user. ALSO titre is a test name. The disease is Rheumatic fever. And it cannot be controlled or prevented or cured by food. You will need to take proper homoeopathic treatment. Soon. It first affects joints and then heart. So take action fast. Don't avoid taking proper treatment.

My brother suffering from rheumatic disease all joint pain swelling, fever specially in winter season take analgesic than relief. weakness in feet, hand. Age 25 year problem in childhood please advice me.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello lybrate user according to Ayurveda Vata vikriti is the main factor for pain.... Treatment- 1-apply prasarini oil or pranacharya restopain oil on your affected part and give hot water fomentation . 2-take yograj guggul and agni tundi vati after lunch and dinner with warm water. 3-Take maha rasnadi kwath 2-2 tsf twice a day. 4-Take pranacharya vatari capsule and syrup twice a day.. Diet- Avoid fermented food...Junk food....potato rice....sleep well...
4 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Dengue Fever
Symptoms and prevention of Dengue fever
Play video
Know More About Viral Fever
Symptoms and treatments of Viral fever
Symptoms and treatments of Viral fever

Good Morning all of you my name is Dr. Anil Kr Mehta consultant physician attached to Akash Hospital. Today's topic of discussion is viral fever. As you know viral fever attacks every human being in his/her life. It refers to wide range of viral infections characterized by body ache, increase in body temperature, headache, rash, restlessness, reduced activity of the human being and leads to various kinds of illnesses. You can broadly classify it as viral illness. You can control the viral fever symptomatically with various medications available over the counter at the chemist shop.

Now how can we diagnose viral fever? It can only be diagnosed by symptoms and the descriptions given by the person that whether he is suffering from body ache, rashes, red eyes, cough and cold. These are the basic symptoms of viral fever. Diagnosis is basically done by symptoms and by complete blood count to rule out other infectious diseases like typhoid, hepatitis. Therefore we have to check basic blood parameters like complete blood count, ESR, peripheral smear for malaria antigen.

How can one treat viral fever? It can be treated symptomatically by paracetamol to reduce body temperature. Also you can do cold sponging, and take well nourished diet. If you add Vitamin you may consume Limcee in your diet. When there is deficiency in the body, it reduces immunity which fights and controls various infections in your body. If you take Vitamin C regularly you can fight viral fever.
And there are various home remedies, like coriander tea, herbal tea, fenugreek seeds, tulsi leaves, rice starch, dry ginger lime mixture.
For more information you can contact me at lybrate.
Play video
Dengue Fever
My name is Dr Tarun Jhamb and I m an MD Medince. I am practising for last fifteen years. I am connected to Lybrate. I m also practising at Columbia Asia Hospital and we will discuss the health topic one of which is Dengue Fever. We know for the next three months, there is a possibility of Dengue Fever in the rainy season. Dengue is a mosquito borne viral fever and it just spreads from the bite of the mosquito and spreads person to person. Most of the times it is self-treatable and it s a preventable disease but there are a few cases which have gone into complications which are known as Dengue Shock Syndrome or Dengue haemorrhaging Fever.

Common symptoms of the Dengue Fever is the high-grade fever, 104- 105 temperature with body ache, joint pain, muscle pain, rashes all over the body, and severe weakness. A person becomes very dilapidated within one or two days and feels very uncomfortable and he becomes sick. It is a treatable disease. Lots of liquids and electrolytes are required.

What are the dos and don ts for this disease?

Do is, we have to take care of not getting stagnant water in coolers or in and around the home. We should take care of using the mosquito repellent, material or the jellies. We can use the net to avoid the mosquito bite. We should intake a lot of water and electrolyte supplements. We should take bed rest for few days. We need to see the doctor as soon as we see the symptoms of dengue fever.

Things we don t have to do, do not use disprin or the voveran tablet during the fever because these are the blood thinners. Do not avoid or delay the treatment. As we see the symptoms like bleeding from anywhere on the sight and black stool, continuous vomiting and severe weakness and continuous fever which leads to fainting.

These are the serious symptoms which should be immediately taken care of and we should seek the help of the doctor. It is a preventable disease. We should take care of the blood testing where we find the dengue test at initial four to five days, likely to be positive and antibody test after four to five days, is likely to be positive. Platelets are falling after four to five days and remain for the next three to four days and then it automatically starts. Some people require hospitalization as well as the platelet transfusion. The upper limit of the platelet is up to ten to fifteen thousand where we can prevent or avoid the platelet transfusion. But if it is going down lower or there is any sign of bleeding up to forty thousand then we have to give the platelet transfusion request.

If you need any of my help, I am available at Lybrate. My home clinic is Naman Medicare at Gurgaon, Sector IV.

Thank you
Play video
Dengue Fever
Symptoms and Treatment for Dengue Fever
Play video
Seasonal Viral Fevers
It is a viral fever. There can be various reasons behind it. A variety of viral infections can affect humans, from the common cold to the flu. But some viral infections, such as dengue fever, can cause a higher fever. But homeopathy has great treatment for it. Homeopathy helps you to treat the disease as well as it can improve your immune system.
Having issues? Consult a doctor for medical advice