I’m afraid I may develop RHD. How to diagnose it?
The modified Jones criteria (revised in 1992) is a universal and recognized guideline to diagnose rheumatic fever. According to Jones criteria, a patient can only be diagnosed with RHD if the patient has 2 major or 1 major (carditis, polyarthritis, chorea, subcutaneous nodules) and 2 minor (fever, arthralgia, prolonged PR interval on ECG) diagnostic criteria combined with recent streptococcal infection.
Although it is difficult to know the exact cause of acute pharyngitis which can be caused both by viruses and bacteria, an evidence of recent exposure to group A streptococcus infections is helpful for diagnosis.
Keywords: rheumatic heart disease guidelines; guidelines rheumatic heart disease; rheumatic heart disease prevention