Rheumatic Fever
Medically reviewed by Drugs.com. Last updated on May 4, 2025.
Rheumatic fever is a condition that develops when a group A strep (GAS) bacterial infection is not fully treated. A GAS infection can cause strep throat, scarlet fever, and impetigo. Rheumatic fever is an autoimmune condition. This means your child's immune system overreacts to the bacteria and attacks healthy tissues. Inflammation forms in your child's joints, nerves, heart, and brain. Anyone can develop rheumatic fever, but it is most common in children 5 to 15 years old.
DISCHARGE INSTRUCTIONS:
Call your local emergency number (911 in the US) if:
- Your child has trouble breathing.
Seek care immediately if:
- Your child has new or worsening symptoms.
Call your child's doctor if:
- You have questions or concerns about your child's condition or care.
Medicines:
Your child may need any of the following:
- Antibiotics help treat the bacterial infection. Antibiotics may be given as a pill your child will take every day for 10 days. Your child may need monthly antibiotic injections for years to prevent rheumatic fever from coming back.
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him or her. Always read the medicine label and follow directions. Do not give these medicines to children younger than 6 months without direction from a healthcare provider.
- Do not give aspirin to children younger than 18 years. Your child could develop Reye syndrome if he or she has the flu or a fever and takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin or salicylates.
- Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell the provider if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
Treatment options
The following list of medications are related to or used in the treatment of this condition.
Prevent rheumatic fever:
Rheumatic fever is not contagious, but GAS bacteria can be passed from one person to another. The following can help prevent rheumatic fever by preventing the bacteria from spreading:
- Always have strep throat, scarlet fever, or impetigo fully treated. Rheumatic fever can develop again, even after treatment. Take your child in to be tested for a GAS infection as soon as symptoms develop. Your child will need antibiotics to treat the infection. It is important to give every dose, even if your child feels better sooner.
- Wash your hands and your child's hands often. Teach your child to use soap and water. Wash for at least 20 seconds. Rinse with warm, running water for several seconds. Then have your child dry with a clean towel or paper towel. Children older than 2 years may use hand sanitizer that contains alcohol if soap and water are not available.
- Teach your child to cover a sneeze or cough. Have your child turn away from others and cover his or her mouth or nose with a tissue. Your child can use the bend of the arm if a tissue is not available. Then have your child wash his or her hands well with soap and water or use hand sanitizer. Your child should also turn and cover if someone nearby has to sneeze or cough.
- Have your child stay home when he or she is sick. Your child should not go to daycare, school, or work until his or her provider says it is okay. This is usually at least 24 hours after antibiotics are started. Your child will also need to have no fever for 24 hours without fever medicine.
- Clean wounds to prevent an infection. Wash your hands before and after you care for a wound. Clean the area with soap and water. Dry around the wound with a clean towel or paper towel. Put antibiotic cream or gel on the wound to prevent a bacterial infection. Cover the wound with a bandage. Change the bandage each day, and if it gets wet or dirty. If your child has impetigo, follow directions from healthcare providers for cleaning and covering the sores.
Follow up with your child's doctor as directed:
Write down your questions so you remember to ask them during your child's visit.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
Further information
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