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- W2039761016 abstract "Recent evidence suggests that there has been an increase in Acute Rheumatic Fever (ARF) in the northern portion of the United States. To determine if there has been a similar increase in the south, we reviewed all cases of of ARF at CMC and PMH, Dallas, Texas from 1976-1986. During this period there were 57 patients who were from 3.2 to 18.9 years of age (median; 10.0 years) whose diagnosis fulfilled the modified Jones criteria for ARF. Eighty-nine percent of patients had carditis; in 27% carditis was the sole major manifestation. There was one death. Twenty-seven (44%) cases occurred during the past 34 mo and 28% of all initial hospitalizations occurred in April. Forty-seven percent and 53% of patients were from the lower and middle socioeconomic strata, respectively. Sixty-two percent of patients received only episodic medical care. One-third of patients had a history of an antecedent streptococcal infection in the past year but only 9% of patients had received ABX in the three months preceding the onset of disease. The majority of patients had no welll-defined illness in the two month period prior to the onset of signs and symptoms of ARF. These data indicate that there has been a three-four fold increase in ARF in our center in the past 2% years as compared to the previous 5 years." @default.
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- W2039761016 title "RECRUDESCENCE OF ACUTE RHEUMATIC FEVER IN DALLAS, TEXAS" @default.
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