Jones Criteria for Diagnosis of Rheumatic Fever

Diagnose acute rheumatic fever

About

The diagnosis of acute rheumatic fever requires:

  • 2 major, or
  • 1 major and 2 minor manifestations, AND
  • evidence of group A streptococcal infection

Required Criteria

Evidence of antecedent Strep infection: ASO / Strep antibodies / Strep group A throat culture / Recent scarlet fever / anti-deoxyribonuclease B / anti-hyaluronidase

Major Diagnostic Criteria

  • Carditis
  • Polyarthritis
  • Chorea
  • Erythema marginatum
  • Subcutaneous Nodules

Minor Diagnostic Criteria

  • Fever
  • Arthralgia
  • Previous rheumatic fever or rheumatic heart disease
  • Elevated acute phase reactant (ESR or CRP)
  • Prolonged PR interval

References

Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association.

Guidelines for the diagnosis of rheumatic fever. Jones Criteria, 1992 update.

JAMA: the Journal of the American Medical Association 1992 October 21, 268 (15): 2069-73

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Created by on 29/05/2019

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1. Evidence of Antecedent Strep Infection?

More Information

Required criteria
Includes: ASO / Strep antibodies / Strep group A throat culture / Recent scarlet fever / anti-deoxyribonuclease B / anti-hyaluronidase

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