Rheumatic fever

Diagnosis

Jones criteria: Evidence of streptococcal infection + 2 major criteria, or 1 major and 2 minor criteria.

Major criteria

SPECS
  1. Sydenham's chorea
  2. Polyarthritis, migratory
  3. Erythema marginatum
  4. Carditis
  5. Subcutaneous nodules, painless

Minor criteria

PEACH
  1. Pyrexia
  2. ECG: long PR
  3. Arthritis
  4. CRP or ESR raised
  5. History of past rheumatic fever