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<< Acute Rheumatic Fever: An Evidence-Based Approach to Diagnosis and Initial Management (Pharmacology CME)

Risk Management Pitfalls For Pediatric Patients With Acute Rheumatic Fever

  1. “I didn’t suspect ARF because this child only had a skin infection.”
    In certain communities with high prevalence of ARF, specifically the Aboriginal communities in Australia, it was found that it was more likely for patients to have precedent pyoderma and not GAS throat colonization.
     
  2. “I thought the patient had a septic joint. I don’t typically think about ARF in patients with a septic joint.”
    Because ARF is not frequently seen in the United States, it might be reasonable to draw an ASO titer to establish antecedent GAS infection in a patient who has some of the clinical manifestations (major or minor) of ARF.

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