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Rheumatic fever

Published online by Cambridge University Press:  19 August 2008

Cleonice de Carvalho Coelho Mota  and
Zilda Maria Alves Meira
Cleonice de Carvalho Coelho Mota *
Affiliation:
Chief, Division of Cardiology and Cardiovascular Surgery, Hospital das Clínicas, Brazil
Zilda Maria Alves Meira
Affiliation:
Associate Professor of Paediatrics, Faculty of Medicine, Federal University of Minas Gerais, Brazil
*
C. de Carvalho Coelho Mota, Rua Cabrália 30/501 30240–080, Belo Horizonte, Brazil. Tel: (031) 225 28 36; Fax: (031) 282 5357.
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Abstract

In recent years, rheumatic fever has been declining in the industrialized countries, and has became a rare disease. In developing areas, nonetheless, the sequels of its cardiac involvement have important implications from the stance of public health, and this disease is still the main cause of heart disease in children and young adults. From a historical perspective, the long-term prevention and the control of socioeconomic problems have been proven to be effective, and it is these measures which have contributed to the decline of the disease in developed countries. But, due to its present high prevalence around the world, and the potential for his resurgence, this disease remains an unsolved problem. Furthermore, the complete understanding of its pathophysiology remains a challenge. In this presentation, we will discuss our experience with epidemiological, clinical and prophylatic aspects of this enigmatic disease, and the strategies we have developed to study and control heumatic fever in Minas Gerais, Brazil.

Keywords

Rheumatic feverrheumatic heart diseasestreptococcal infectionprevention
Type
Continuing Medical Education
Information
Cardiology in the Young , Volume 9 , Issue 3 , May 1999 , pp. 239 - 248
Copyright
Copyright © Cambridge University Press 1999

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