rheumatic fever and rheumatic recurrences usually occur after colds caused by a streptococcal infection: after tonsillitis, sinusitis, pharyngitis, laryngitis, etc.Therefore, in the autumn, when an increasing number of ENT diseases, the need for prevention of seasonal exacerbation of rheumatism.
is especially important for those who, after the first attack of rheumatic heart disease is not formed, as first identified and even actively treated rheumatism may be the cause of heart disease with repeated exacerbations (recurrent rheumatic heart disease).
Aggravation begins with the appearance of low grade temperature, accompanied by pain, redness and swelling in the smaller joints of the limbs.Also, the deterioration of the general state of health, appearance of weakness, sweating, fati
Some patients noted the appearance of skin rash in the form of a ring, and erythema nodosum - a skin seal pink 5-20 mm in diameter, mostly located on the dorsum of the feet, hands, ankles, buttocks.
much less on the background of rheumatic fever with heart disease during seasonal acute circulatory failure occurs rise with shortness of breath and edema, which may be the first sign of developing recurrent rheumatic heart disease.
Simultaneously, accelerated erythrocyte sedimentation rate, and a small leukocytosis can be observed in the patient's blood, the occurrence of C-reactive protein and fibrinogen increase, as well as the identification of positive antibody titers (antistreptolysin-O-alpha 2globulin), etc., during the ECG can be detectedsigns of conduction disorders and metabolic processes in the myocardium.
During an exacerbation, patients must comply with bed rest, avoiding any strenuous exercise to prevent the development of circulatory failure.At the same time, it is recommended to switch to low-calorie diet salt-free, but contains the whole complex of vitamins, minerals and trace elements.If
exacerbation occurred amid colds prescribe antibiotics, and to reduce inflammation in the joints - nonsteroidal antiinflammatory drugs (but only after a meal, as taken fasting drugs irritate the stomach and may even cause the formation of erosions).
good effect gives the local use of ointments, which include anti-inflammatory drugs.In the presence of heart failure prescribed cardiac glycosides, diuretics, and symptomatic therapy.
Throughout the acute patient should be under medical supervision (hospitalization is desirable).
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