ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjM2NTgyLXRyZWF0bWVudA==processing....Drugs&Diseases>InfectiousDiseasesRheumaticFever Treatment&ManagementUpdated:Mar23,2021Author:MarkRWallace,MD,FACP,FIDSA;ChiefEditor:MichaelStuartBronze,MD more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInGoogle+SectionsRheumaticFeverSectionsRheumaticFeverOverviewBackgroundPathophysiologyEpidemiologyShowAllPresentationHistoryPhysicalCausesShowAllDDxWorkupLaboratoryStudiesImagingStudiesOtherTestsProceduresHistologicFindingsDiagnosisShowAllTreatmentMedicalCareSurgicalCareConsultationsDietActivityPreventionShowAllMedicationAntibioticsAnti-inflammatoryagentsNSAIDsShowAllFollow-upFurtherOutpatientCareFurtherInpatientCareInpatient&OutpatientMedicationsDeterrence/PreventionComplicationsPrognosisPatientEducationShowAllQuestions&AnswersReferencesTreatmentMedicalCareManagementandpreventionofacuterheumaticfever(ARF)canbedividedintothefollowing4approaches.TreatmentofthegroupAstreptococcalinfectionthatledtothediseaseAlthoughneverproventoimprovetheone-yearoutcome,thisisastandardpractice.[1,6,29] Itmayatleastservetoreducethespreadofcauasativestrain.GeneraltreatmentoftheacuteepisodeAnti-inflammatoryagentsareusedtocontrolthearthritis,fever,andotheracutesymptoms.Salicylatesarethepreferredagents,althoughothernonsteroidalagentsareprobablyequallyefficacious.andmaybepreferredinchildren.[38] Steroidsarealsoeffectivebutshouldprobablybereservedforpatientsinwhomsalicylatesfail,