How is rheumatic fever treated?

Jun 27, 2024 Source: Cainiu Health
Disease description:

Recently, I have developed some rashes on my body, which never seem to heal completely. After an examination, I was told that I have rheumatic fever. May I ask, how is rheumatic fever treated?

Doctor's answer (1)
Dr. He Haochen
The treatment of rheumatic fever is a comprehensive process that must be conducted under the guidance of a physician. Antibiotics such as penicillin or erythromycin are used to eliminate streptococcal infection and prevent recurrence of rheumatic fever. For symptoms such as joint pain and fever, nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or loxoprofen sodium tablets, may be administered for relief. For patients with carditis, glucocorticoids such as prednisone or dexamethasone play an important role in reducing inflammation. During treatment, patients should rest appropriately, avoid strenuous activity, keep warm, avoid dampness and cold exposure, and maintain a light, nutritious diet. For some patients with severe carditis, surgical treatments such as heart transplantation, valve repair, or valve replacement may need to be considered. The treatment of rheumatic fever requires a combination of multiple approaches, and patients must strictly follow medical advice to achieve the best therapeutic outcomes.