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What is rheumatic fever?

Rheumatic fever is a complication that develops due to inadequately treated or untreated streptococcal infection of the throat. It can cause severe illness of the skin, the heart, the joints, and the brain. The infection mainly affects children between the ages of 5 to 15 years.  Rheumatic fever usually occurs 14 to 28 days after the onset of streptococcal throat infection.

What are its main signs and symptoms?

The signs and symptoms of rheumatic fever include:

General

Joints related changes:

Skin-related changes:

  • Lumps or nodules on the skin
  • Rash, especially on the trunk and upper part of the arms or the legs which could look like a snake or be ring-shaped.
  • Sydenham chorea a neurological condition is characterised by quick, jerky movements affecting the hands, feet, and the face.

What are the main causes?

The main cause of rheumatic fever is group A streptococci infection (Streptococcus pyogenes). The infection causes an abnormal autoimmune response (to streptococcus throat infection or scarlet fever) in a host who is genetically susceptible.  

How is it diagnosed and treated?

After taking a history of symptoms, the physician will thoroughly examine the skin and the joints and will check for heart sounds, followed by advising the following tests:

  • Complete blood count (CBC)
  • Erythrocyte Sedimentation Rate (ESR – to check for inflammation)
  • Anti-streptolysin O (ASO) blood test to check for repeated infection
  • Electrocardiogram (ECG)
  • Evaluation of fixed major and minor criteria (Jones criteria)

Management of Rheumatic fever includes:

  • For infections, antibiotics are prescribed, which might be advised for a long term to prevent recurrence (For children, it is advised till 21 years of age, sometimes even lifetime).
  • Medications such as aspirin or corticosteroids are given to relieve symptoms like swelling and inflammation.
  • Medications for seizures are prescribed when an individual exhibits abnormal movements or behaviour.
  1. Medicines for Rheumatic Fever

Medicines for Rheumatic Fever

Medicines listed below are available for Rheumatic Fever. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Acnetoin TabletAcnetoin 10 Mg Tablet76.0
Agrocin TabletAgrocin 250 Mg Tablet11.0
AlthrocinAlthrocin 100 Mg Drop27.0
Citamycin TabletCitamycin 250 Mg Tablet38.0
Cynoryl TabletCynoryl 250 Mg Tablet50.0
E MycinE Mycin 100 Mg Suspension23.0
ErocinErocin 100 Mg Tablet63.0
ErokidErokid 125 Mg Tablet31.0
EromedEromed 125 Mg Suspension27.0
EryconErycon 250 Mg Tablet39.0
ErypalErypal 100 Mg Syrup23.0
ErysterEryster 250 Mg Tablet14.0
ErythrocinErythrocin 100 Mg Tablet16.0
ErythrolErythrol 250 Mg Tablet38.0
Erythrol KidErythrol Kid Tablet24.0
EstocinEstocin 5 Mg Eye Ointment62.0
Q MycinQ Mycin 125 Mg Tablet20.0
RekcinRekcin 2% Solution60.0
RethrocinRethrocin 150 Mg Tablet97.0
AllmycinAllmycin Syrup33.0
Althrocin ForteAlthrocin Forte 250 Mg Syrup31.0
Althrocin KidAlthrocin Kid 125 Mg Tablet25.0
AlthroxAlthrox 250 Mg Tablet167.0
Bestocin (Bestochem)Bestocin 250 Mg Injection7.0
BiomycinBiomycin 250 Mg Tablet46.0
Citamycin PCitamycin P Tablet19.0
EbEb 333 Mg Tablet58.0
ElthrocinElthrocin 500 Tablet58.0
EltocinEltocin 125 Mg Suspension31.0
ElucinElucin 250 Mg Tablet22.0
EnthrocinEnthrocin 250 Mg Tablet27.0
EroateEroate 250 Mg Tablet35.0
ErybestErybest 250 Mg Tablet41.0
Erycin (Cipla)Erycin Dt 125 Mg Tablet16.0
ErynEryn Suspension21.0
EryspansEryspans 250 Mg Capsule44.0
EryspicEryspic 250 Mg Tablet18.0
ErythoErytho 500 Mg Tablet36.0
Erythro (Cadila)Erythro 500 Mg Tablet19.0
ErythrokemErythrokem 125 Mg Syrup20.0
ErythromarkErythromark 125 Mg Syrup21.0
Erythromycin EstolErythromycin Estol 500 Mg Tablet19.0
ErythrotoneErythrotone 250 Mg Tablet24.0
EtominEtomin 125 Mg Suspension24.0
Ticin(Trq)Ticin Suspension18.0
AcrubAcrub 1% Lotion66.0
AfdethroAfdethro Cream15.0
ClinacClinac Gel66.0
Erycin (Dermo Care)Erycin (Dermo Care) Gel44.76
Gery OintGery Oint 3% Ointment26.5
SyniSyni 0.025% Gel49.0
AcnebenzAcnebenz Gel81.12
ErylentErylent Gel42.0
MedisoftMedisoft Cream14.86
OkamycinOkamycin 3% Cream28.75
SafodermSafoderm 10% Cream21.0
SilvaSilva 1% Cream15.95
SilverineSilverine 1% Cream25.0
SilvezSilvez 1% Cream25.0
SilvisynSilvisyn Cream11.87
Zad GZad G 5% Cream31.0
MonosporinMonosporin 1% Cream15.62
Silonate CSilonate C Cream206.25
Silver Sulphadiaz.Silver Sulphadiaz. 1% Ointment89.77
BenzathineBenzathine 1200000 Iu Injection0.0
PencomPencom 12 Injection11.62
SulphadiazineSulphadiazine 500 Mg Tablet12.91
KaypenKaypen 125 Mg Tablet0.0
Ag XAg X Cream22.36
ArgiseptArgisept 1%/0.2% Cream23.73
BurncoolBurncool 1%/0.2% Cream118.75
Burnheal Burnheal 1%/0.5% Dusting Powder15.62
BurnosilBurnosil Ointment22.5
CssCss 1%/0.2% Cream18.58
DibactDibact 1%/.2% Cream189.42
SilhexSilhex 1%/0.2% Cream8.2
SilvoSilvo 1%/0.2% Cream29.42
WbcWbc Cream65.0
ArgedinArgedin Cream9.0
Burnheal PlusBurnheal Plus Ointment77.0
SaphrineSaphrine 1%/0.2% Cream227.51

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