1. Be Aware of Strep Throat Infections
Most cases of rheumatic fever start out as strep throat infections. Doctors aren't sure what the exact connection is yet, but any case of strep throat that is left untreated carries the risk of developing into rheumatic fever. Usually, the fever will start several days to several weeks after the strep throat has seemingly gone away. Because most modern cases of strep throat are treated with antibiotics, rheumatic fever is now rare in the developed world. It is still common in undeveloped countries, though, and can be contracted by anyone who has the infection and does not treat it.
2. Joint Pain is a Sign
Rheumatic fever is characterized by joint pain accompanied by a medium-grade fever. After all, rheumatoid arthritis, for which the condition is named, is a disease of the joints. In most cases, the joint pain that accompanies rheumatic fever is a deep, aching kind of pain that occurs far down within the joints. It may or may not be accompanied by swelling and inflammation. The pain can often be relieved by massaging the joints or by applying hot or cold packs. (Some people experience greater relief with hot packs, while others prefer cold packs; neither will be harmful to the joint.) The joint pain will likely be present for as long as the fever is there. It usually goes away when the fever is gone, but may come back in times of stress or in cold, damp weather.
3. Be on the Lookout for a Rash
Many people who get rheumatic fever also develop an all-over pink or red rash. The rash is generally not raised and consists of large patches and splotches of color, rather than small specks or dots. The rash is most prevalent on the face, but traces of it can usually be seen all over the body. The rash normally goes away when the fever subsides and the patient recovers.
