Rheumatic Fever
What are the treatments for the disease?
A person with strep throat will be given antibiotics such as penicillin and
erythromycin. Nonsteroidal anti-inflammatory drugs, or NSAIDs, such as aspirin
and ibuprofen, may be used as needed for pain and fever. However, aspirin
should not be used by children because of the risk for developing Reye
syndrome.
A person who has rheumatic fever will be given
antibiotics as well as NSAIDs. Corticosteroids, such as prednisone, may be used
to modify the immune response. Bed rest is recommended for a person who has
rheumatic fever. Some healthcare providers prescribe digoxin, a medicine that
strengthens the contractions of the heart. After the
initial treatment, a slow increase in physical activity is allowed. Any
complications are treated on a case-by-case basis.
What are the side effects of the treatments?
Antibiotics and pain
medicines may cause stomach upset, rash, and allergic
reactions. Corticosteroids can increase the person's risk of
infection.
What happens after treatment for the disease?
A person who has had rheumatic fever may need lifelong treatment
with antibiotics to prevent further attacks. He or she may also be advised to
take preventive antibiotics before surgery or dental procedures.
How is the disease monitored?
The healthcare provider will monitor a person for the complications of
rheumatic fever. The provider may order repeated echocardiograms and other tests. Any new or worsening
symptoms should be reported to the provider.
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