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Acute rheumatic fever and rheumatic heart disease in Indigenous populations

Steer, A. and Carapetis, Jonathan R. (2009). Acute rheumatic fever and rheumatic heart disease in Indigenous populations. Pediatric Clinics of North America,56(6):1401-1419.

Document type: Journal Article
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Title Acute rheumatic fever and rheumatic heart disease in Indigenous populations
Author Steer, A.
Carapetis, Jonathan R.
Journal Name Pediatric Clinics of North America
Publication Date 2009
Volume Number 56
Issue Number 6
ISSN 0031-3955   (check CDU catalogue open catalogue search in new window)
Start Page 1401
End Page 1419
Total Pages 19
Place of Publication US
Publisher WB Saunders Co.
HERDC Category C2 - Journal Article - Other contributions to refereed journal (internal)
Abstract Acute rheumatic fever and rheumatic heart disease are diseases of socioeconomic disadvantage. These diseases are common in developing countries and in Indigenous populations in industrialized countries. Clinicians who work with Indigenous populations need to maintain a high index of suspicion for the potential diagnosis of acute rheumatic fever, particularly in patients presenting with joint pain. Inexpensive medicines, such as aspirin, are the mainstay of symptomatic treatment of rheumatic fever; however, antiinflammatory treatment has no effect on the long-term rate of progression or severity of chronic valvular disease. The current focus of global efforts at prevention of rheumatic heart disease is on secondary prevention (regular administration of penicillin to prevent recurrent rheumatic fever), although primary prevention (timely treatment of streptococcal pharyngitis to prevent rheumatic fever) is also important in populations in which it is feasible.
DOI http://dx.doi.org/10.1016/j.pcl.2009.09.011   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 23 Mar 2010, 12:38:52 CST by Sarena Wegener