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Titlebook: Rheumatic Fever; A Guide to its Recog Angelo Taranta,Milton Markowitz Book 1981 A. Taranta and M. Markowitz 1981 World Health Organization.

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Prevention of recurrent attacks,ic fever attacks, because recurrences cause a disproportionate number of deaths and disabilities. In fact, the change in clinical pattern of the disease in the Western world is largely due to the reduction of recurrences.
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icine; but to conclude that efforts to control the disease are futile would be an error leading to what could be termed public health malpractice. The need for adequate treatment of patients suffering from acute rheu­ matic fever or chronic rheumatic valvular heart disease is obvious; but control al
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Etiology, pathogenesis, pathology,It is customary to start discussions of etiology with a description of the agent. We will not follow this custom because we are impressed with the role of social and environmental factors.
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Clinical manifestations,The clinical manifestations of rheumatic fever involve various organ systems. They are regularly preceded by a streptococcal pharyngitis (which may be symptomatic or asymptomatic, but in either case diagnosable by elevation of streptococcal antibody titers) and they are followed by healing or by chronic rheumatic heart disease.
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Diagnosis,Rheumatic fever may affect a number of organs and tissues, singly or in combination. No single manifestation or laboratory test is characteristic enough to be diagnostic and therefore the diagnosis is based on appropriate combinations of them. The greater the number of manifestations, the firmer the diagnosis.
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