Rheumatic Fever

In 1685, a famous doctor Thomas Sidenham recorded a situation called "dance disease" from "Greek dance" and showed involuntary movements and limb cramps. . The main focus of his study was rheumatism, but he finally succeeded in infectious diseases like scar red fever and what he called "heart rheumatism". He said he had shown acute pain, redness, swelling of one or more joints, subcutaneous nodules of knee and elbow joints, uncontrollable convulsions or vertigo dizziness, and in many cases "heart failure". The content he describes is already known.

Rheumatic heart disease is caused by myocardial injury caused by inflammation and scarring caused by heart valve and rheumatic fever. Rheumatic fever is usually caused by an abnormal reaction of the body against streptococcal infections starting from childhood sore throat or tonsillitis. People in low and middle income countries with cardiovascular disease and other non-communicable diseases have difficulty accessing effective and equitable medical services to meet their needs. As a result, many people in middle and low income countries are found in the process of illness, usually died of young people with cardiovascular disease and other non-communicable diseases, in the most productive year.

RHD is a condition in which permanent damage to the heart valve is caused by rheumatic fever. Bacterial infection, called group A Streptococcus, causes rheumatic fever. Treatment with antibiotics can prevent and control rheumatic fever. RHD is the most common acquired heart disease among children in many countries around the world, especially the Pacific Ocean and Fiji. This disease can lead to heart valvular fibrosis, atrophic valvular heart disease, heart failure and death. In this study, researchers at Oxford University, Fiji National University, Brigham Young University, Melbourne University, Utah Valley University, and several other institutions tried to find out why some people are likely to become RHD. Genetic analysis of samples from over 3,000 people revealed genetic differences in the code of certain antibodies between people with or without RHD

The global epidemic of acute sequelae of acute purulent infections (acute rheumatic fever and acute glomerulonephritis) has changed from a mild climate to a tropical climate. In particular, group A streptococcal pharyngitis did not accompany a decrease, but acute rheumatic fever is no longer a major health problem in the United States. Prior to these diseases, the standard of living was low and access to medical care was restricted. Acute rheumatic fever has occurred in some parts of the United States since 1985. Time and geographical clustering provides further evidence for "rheumatoid" strains. It is unknown whether ethnic or racial decision factors will affect this change.