https://wikem.org/w/index.php?action=history&feed=atom&title=Acute_rheumatic_fever%2Fes Acute rheumatic fever/es - Revision history 2026-04-17T18:45:33Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=382839&oldid=prev Ostermayer at 23:48, 17 January 2026 2026-01-17T23:48:34Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:48, 17 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l83">Line 83:</td> <td colspan="2" class="diff-lineno">Line 83:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Manejo==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Manejo==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicilina</del>|Penicilina]] - Indicada para todos con fiebre reumática<del style="font-weight: bold; text-decoration: none;">, </del>incluso si la cultura para [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">estreptococo</del>|estreptococo]] es negativa</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicillin</ins>|Penicilina]] - Indicada para todos con fiebre reumática incluso si la cultura para [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">strep</ins>|estreptococo]] es negativa</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicilina </del>G|Penicilina G]] <del style="font-weight: bold; text-decoration: none;">600.000 </del>unidades IM si &lt;27 kg, 1<del style="font-weight: bold; text-decoration: none;">,</del>2 millones de unidades IM si &gt;27 kg</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicillin </ins>G|Penicilina G]] <ins style="font-weight: bold; text-decoration: none;">600K </ins>unidades IM si &lt;27 kg, 1<ins style="font-weight: bold; text-decoration: none;">.</ins>2 millones de unidades IM si &gt;27 kg</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicilina </del>V|Penicilina V]] VO <del style="font-weight: bold; text-decoration: none;">x 10 días</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicillin </ins>V|Penicilina V]] VO <ins style="font-weight: bold; text-decoration: none;">x10d</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Para aquellos que son alérgicos a la penicilina</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Para aquellos que son alérgicos a la penicilina</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Cefalosporinas de espectro estrecho como [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Cefalexina</del>|cefalexina]] <del style="font-weight: bold; text-decoration: none;">20 mg</del>/kg/dosis <del style="font-weight: bold; text-decoration: none;">cada 12 horas x 10 días</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Cefalosporinas de espectro estrecho como [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">cephalexin</ins>|cefalexina]] <ins style="font-weight: bold; text-decoration: none;">20mg</ins>/kg/dosis <ins style="font-weight: bold; text-decoration: none;">BID x10d </ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Clindamicina</del>|Clindamicina]] <del style="font-weight: bold; text-decoration: none;">7 mg</del>/kg/dosis <del style="font-weight: bold; text-decoration: none;">cada 8 horas </del>(máximo de <del style="font-weight: bold; text-decoration: none;">300 mg</del>/dosis) VO <del style="font-weight: bold; text-decoration: none;">x 10 días</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Clindamycin</ins>|Clindamicina]] <ins style="font-weight: bold; text-decoration: none;">7mg</ins>/kg/dosis <ins style="font-weight: bold; text-decoration: none;">TID </ins>(máximo de <ins style="font-weight: bold; text-decoration: none;">300mg</ins>/dosis) VO <ins style="font-weight: bold; text-decoration: none;">x10d</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Azitromicina</del>|Azitromicina]] <del style="font-weight: bold; text-decoration: none;">12 mg</del>/kg una vez (<del style="font-weight: bold; text-decoration: none;">500 mg </del>máximo) y luego <del style="font-weight: bold; text-decoration: none;">6 mg</del>/kg (<del style="font-weight: bold; text-decoration: none;">250 mg </del>máximo) diariamente <del style="font-weight: bold; text-decoration: none;">durante </del>los siguientes 4 días</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Azithromycin</ins>|Azitromicina]] <ins style="font-weight: bold; text-decoration: none;">12mg</ins>/kg una vez (<ins style="font-weight: bold; text-decoration: none;">500mg </ins>máximo) y luego <ins style="font-weight: bold; text-decoration: none;">6mg</ins>/kg (<ins style="font-weight: bold; text-decoration: none;">250mg </ins>máximo) diariamente <ins style="font-weight: bold; text-decoration: none;">por </ins>los siguientes 4 días  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Profílaxis</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Profílaxis</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicilina </del>G|Penicilina G]] IM <del style="font-weight: bold; text-decoration: none;">x 1 </del>mes</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicillin </ins>G|Penicilina G]] IM <ins style="font-weight: bold; text-decoration: none;">x1 </ins>mes</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>::{| class=&quot;wikitable&quot; border=&quot;1&quot;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>::{| class=&quot;wikitable&quot; border=&quot;1&quot;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l100">Line 100:</td> <td colspan="2" class="diff-lineno">Line 100:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>| 5 años o hasta los 21 años, lo que sea más largo</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>| 5 años o hasta los 21 años, lo que sea más largo</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| Fiebre reumática con carditis pero sin enfermedad cardíaca residual (<del style="font-weight: bold; text-decoration: none;">no hay </del>enfermedad valvular)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| Fiebre reumática con carditis pero sin enfermedad cardíaca residual (<ins style="font-weight: bold; text-decoration: none;">sin </ins>enfermedad valvular)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| 10 años o hasta la edad adulta, lo que sea más largo</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| 10 años o <ins style="font-weight: bold; text-decoration: none;">bien </ins>hasta la edad adulta, lo que sea más largo</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>| Fiebre reumática con carditis y enfermedad cardíaca residual (enfermedad valvular persistente)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>| Fiebre reumática con carditis y enfermedad cardíaca residual (enfermedad valvular persistente)</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>| 10 años desde el último episodio y al menos hasta los 40 años; comúnmente de por vida</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>| 10 años desde el último episodio y al menos hasta los 40 años; comúnmente de por vida</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|}</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Artritis</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Artritis  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**La terapia con [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Aspirina</del>|aspirina]] de alta dosis (50-<del style="font-weight: bold; text-decoration: none;">100 mg</del>/kg/día) ha sido históricamente <del style="font-weight: bold; text-decoration: none;">la </del>primera línea</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**La terapia con [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">aspirin</ins>|aspirina]] de alta dosis (50-<ins style="font-weight: bold; text-decoration: none;">100mg</ins>/kg/día) ha sido históricamente <ins style="font-weight: bold; text-decoration: none;">de </ins>primera línea</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">La naproxeno </del>puede ser <del style="font-weight: bold; text-decoration: none;">tan </del>efectiva con <del style="font-weight: bold; text-decoration: none;">una </del>dosificación menos frecuente y menos efectos secundarios &lt;ref&gt; <del style="font-weight: bold; text-decoration: none;">La eficacia </del>y seguridad de <del style="font-weight: bold; text-decoration: none;">la </del>naproxeno en <del style="font-weight: bold; text-decoration: none;">la </del>fiebre reumática aguda: <del style="font-weight: bold; text-decoration: none;">los resultados </del>comparativos de 11 años de experiencia con ácido acetilsalicílico y naproxeno. Turk J Pediatr. 2016; 58(5): 473. &lt;/ref&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Naproxeno </ins>puede ser <ins style="font-weight: bold; text-decoration: none;">igual de </ins>efectiva con dosificación menos frecuente y menos efectos secundarios &lt;ref&gt;<ins style="font-weight: bold; text-decoration: none;">Eficacia </ins>y seguridad de naproxeno en fiebre reumática aguda: <ins style="font-weight: bold; text-decoration: none;">Resultados </ins>comparativos de 11 años de experiencia con ácido acetilsalicílico y naproxeno. Turk J Pediatr. 2016;58(5):473. &lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Carditis</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Carditis  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**La aspirina es el tratamiento <del style="font-weight: bold; text-decoration: none;">principal</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**La aspirina es el tratamiento <ins style="font-weight: bold; text-decoration: none;">primario</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Prednisona</del>|Prednisona]] 1-<del style="font-weight: bold; text-decoration: none;">2 mg</del>/kg/día no tiene beneficio sobre la aspirina en <del style="font-weight: bold; text-decoration: none;">la prevención de la </del>enfermedad cardíaca <del style="font-weight: bold; text-decoration: none;">a un </del>año &lt;ref&gt; Cilliers</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Prednisone</ins>|Prednisona]] 1-<ins style="font-weight: bold; text-decoration: none;">2mg</ins>/kg/día no tiene beneficio sobre la aspirina en <ins style="font-weight: bold; text-decoration: none;">prevenir </ins>enfermedad cardíaca <ins style="font-weight: bold; text-decoration: none;">al </ins>año &lt;ref&gt; <ins style="font-weight: bold; text-decoration: none;"> </ins>Cilliers <ins style="font-weight: bold; text-decoration: none;">A, Adler AJ, Saloojee H. Tratamiento antiinflamatorio para carditis en fiebre reumática aguda. Cochrane Database Syst Rev. 2015 &lt;/ref&gt;</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">***Algunos consideran para carditis severa</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">**Terapia médica estándar para [[Special:MyLanguage/Congestive Heart Failure|Insuficiencia Cardíaca Congestiva]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*Corea - Es autolimitada pero varios agentes han sido descritos como efectivos, aunque no bien estudiados</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Haloperidol|Haloperidol]] 0.01-0.03mg/kg/día en cuatro dosis divididas</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Valproate|Valproato]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Diazepam|Diazepam]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Phenobarbital|Fenobarbital]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Chlorpromazine|Clorpromazina]]</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> </table> Ostermayer https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=382837&oldid=prev Ostermayer at 23:47, 17 January 2026 2026-01-17T23:47:47Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:47, 17 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l61">Line 61:</td> <td colspan="2" class="diff-lineno">Line 61:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Criterios Modificados de Jones (1992) para Fiebre Reumática Aguda===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Criterios Modificados de Jones (1992) para Fiebre Reumática Aguda===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>''<del style="font-weight: bold; text-decoration: none;">REQUERIR</del>: 2 criterios mayores o 1 criterio mayor y 2 criterios menores y evidencia de faringitis por <del style="font-weight: bold; text-decoration: none;">GAS previa</del>''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>''<ins style="font-weight: bold; text-decoration: none;">REQUIERE</ins>: 2 criterios mayores o 1 criterio mayor y 2 criterios menores y evidencia de faringitis <ins style="font-weight: bold; text-decoration: none;">previa </ins>por <ins style="font-weight: bold; text-decoration: none;">GEAB</ins>''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Criterios diagnósticos mayores (<del style="font-weight: bold; text-decoration: none;">CASES</del>)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Criterios diagnósticos mayores (<ins style="font-weight: bold; text-decoration: none;">CASOS</ins>)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Carditis (nuevo o cambiante <del style="font-weight: bold; text-decoration: none;">[[Special:MyLanguage/murmur|murmur]]</del>, cardiomegalia, [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">insuficiencia cardíaca</del>|<del style="font-weight: bold; text-decoration: none;">insuficiencia cardíaca</del>]], [[Special:MyLanguage/pericarditis|pericarditis]])</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Carditis (<ins style="font-weight: bold; text-decoration: none;">soplo </ins>nuevo o cambiante, cardiomegalia, [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">CHF</ins>|<ins style="font-weight: bold; text-decoration: none;">ICR</ins>]], [[Special:MyLanguage/pericarditis|pericarditis]])</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Artritis</del>|Artritis]], poliartritis migratoria (típicamente afecta rodillas, tobillos, codos, muñecas)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Arthritis</ins>|Artritis]], poliartritis migratoria (típicamente afecta rodillas, tobillos, codos, muñecas)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Corea de Sydenham (movimientos bruscos, involuntarios, sin propósito)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Corea de Sydenham (movimientos bruscos, involuntarios, sin propósito)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Eritema marginatum (no pruriginoso, tronco/extremidades, con <del style="font-weight: bold; text-decoration: none;">respeto </del>facial)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Eritema marginatum (no pruriginoso, tronco/extremidades, con <ins style="font-weight: bold; text-decoration: none;">ahorro </ins>facial)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Nódulos subcutáneos (indoloros, firmes, usualmente sobre huesos/tendones)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Nódulos subcutáneos (indoloros, firmes, usualmente sobre huesos/tendones)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Criterios diagnósticos menores</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Criterios diagnósticos menores</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Fiebre</del>|Fiebre]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Fever</ins>|Fiebre]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Artralgia</del>|Artralgia]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Arthralgia</ins>|Artralgia]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Historia de ataque previo de fiebre reumática</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Historia de ataque previo de fiebre reumática</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Intervalo PR prolongado</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Intervalo PR prolongado</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** <del style="font-weight: bold; text-decoration: none;">ESR</del>, <del style="font-weight: bold; text-decoration: none;">CRP elevados</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">VSG</ins>, <ins style="font-weight: bold; text-decoration: none;">PCR elevada</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Evidencia de infección <del style="font-weight: bold; text-decoration: none;">estreptocócica previa</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Evidencia de infección <ins style="font-weight: bold; text-decoration: none;">precedente por [[Special:MyLanguage/streptococcal|estreptococo]]</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** <del style="font-weight: bold; text-decoration: none;">Aumento de </del>ASO <del style="font-weight: bold; text-decoration: none;">o otros anticuerpos estreptocócicos</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**ASO <ins style="font-weight: bold; text-decoration: none;">aumentado u otro ab contra estreptococo</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Cultivo de garganta <del style="font-weight: bold; text-decoration: none;">positivo </del>para [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">estreptococo del grupo </del>A|estreptococo del grupo A]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Cultivo <ins style="font-weight: bold; text-decoration: none;">positivo </ins>de garganta para [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Group </ins>A <ins style="font-weight: bold; text-decoration: none;">strep</ins>|estreptococo del grupo A]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** <del style="font-weight: bold; text-decoration: none;">Prueba rápida de </del>GAS <del style="font-weight: bold; text-decoration: none;">positiva</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**GAS <ins style="font-weight: bold; text-decoration: none;">rápido positivo</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Fiebre escarlata reciente</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">[[Special:MyLanguage/scarlet fever|</ins>Fiebre escarlata<ins style="font-weight: bold; text-decoration: none;">]] </ins>reciente</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l85">Line 85:</td> <td colspan="2" class="diff-lineno">Line 85:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Penicilina|Penicilina]] - Indicada para todos con fiebre reumática, incluso si la cultura para [[Special:MyLanguage/estreptococo|estreptococo]] es negativa</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Penicilina|Penicilina]] - Indicada para todos con fiebre reumática, incluso si la cultura para [[Special:MyLanguage/estreptococo|estreptococo]] es negativa</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Penicilina G|Penicilina G]] 600.000 unidades IM si &lt;27 kg, 1,2 millones de unidades IM si &gt;27 kg</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Penicilina G|Penicilina G]] 600.000 unidades IM si &lt;27 kg, 1,2 millones de unidades IM si &gt;27 kg</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Penicilina V|Penicilina V]] <del style="font-weight: bold; text-decoration: none;">PO </del>x 10 días</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Penicilina V|Penicilina V]] <ins style="font-weight: bold; text-decoration: none;">VO </ins>x 10 días</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Para aquellos que son alérgicos a la penicilina</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Para aquellos que son alérgicos a la penicilina</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Cefalosporinas de espectro estrecho como [[Special:MyLanguage/Cefalexina|cefalexina]] 20 mg/kg/dosis cada 12 horas x 10 días</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Cefalosporinas de espectro estrecho como [[Special:MyLanguage/Cefalexina|cefalexina]] 20 mg/kg/dosis cada 12 horas x 10 días</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Clindamicina|Clindamicina]] 7 mg/kg/dosis cada 8 horas (máximo de 300 mg/dosis) <del style="font-weight: bold; text-decoration: none;">PO </del>x 10 días</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Clindamicina|Clindamicina]] 7 mg/kg/dosis cada 8 horas (máximo de 300 mg/dosis) <ins style="font-weight: bold; text-decoration: none;">VO </ins>x 10 días</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Azitromicina|Azitromicina]] 12 mg/kg una vez (500 mg máximo) y luego 6 mg/kg (250 mg máximo) diariamente durante los siguientes 4 días</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Azitromicina|Azitromicina]] 12 mg/kg una vez (500 mg máximo) y luego 6 mg/kg (250 mg máximo) diariamente durante los siguientes 4 días</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Profílaxis</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Profílaxis</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l111">Line 111:</td> <td colspan="2" class="diff-lineno">Line 111:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Carditis</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Carditis</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**La aspirina es el tratamiento principal</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**La aspirina es el tratamiento principal</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Prednisona|Prednisona]] 1-2 mg/kg/día no tiene beneficio sobre la aspirina en la prevención de la enfermedad cardíaca a un año &lt;ref&gt; Cilliers <del style="font-weight: bold; text-decoration: none;">A, Adler AJ, Saloojee H. Tratamiento antiinflamatorio para la carditis en la fiebre reumática aguda. Cochrane Database Syst Rev. 2015 &lt;/ref&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Prednisona|Prednisona]] 1-2 mg/kg/día no tiene beneficio sobre la aspirina en la prevención de la enfermedad cardíaca a un año &lt;ref&gt; Cilliers</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">***Algunos consideran para la carditis severa</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">**Terapia médica estándar para la [[Special:MyLanguage/Insuficiencia cardíaca congestiva|insuficiencia cardíaca congestiva]]</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">*Corea - Es autolimitada, pero varios agentes han sido descritos como efectivos, aunque no están bien estudiados</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Haloperidol|Haloperidol]] 0,01-0,03 mg/kg/día en cuatro dosis divididas</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Valproato|Valproato]]</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Diazepam|Diazepam]]</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Fenobarbital|Fenobarbital]]</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">**[[Special:MyLanguage/Clorpromazina|Clorpromazina]]</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Complicaciones==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Complicaciones==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Enfermedad <del style="font-weight: bold; text-decoration: none;">cardíaca reumática</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Enfermedad <ins style="font-weight: bold; text-decoration: none;">Cardíaca Reumática</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Causa más común de enfermedad valvular cardíaca <del style="font-weight: bold; text-decoration: none;">en todo el mundo</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Causa más común <ins style="font-weight: bold; text-decoration: none;">mundial </ins>de enfermedad valvular cardíaca</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Ocurre generalmente 10+ años después de <del style="font-weight: bold; text-decoration: none;">la </del>FR</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Ocurre generalmente 10+ años después de FR</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**La válvula mitral es la más comúnmente afectada, seguida <del style="font-weight: bold; text-decoration: none;">de </del>la válvula aórtica</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**La válvula mitral es la más comúnmente afectada, seguida <ins style="font-weight: bold; text-decoration: none;">por </ins>la válvula aórtica</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**50% de aquellos con carditis durante <del style="font-weight: bold; text-decoration: none;">la </del>FR aguda</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**50% de aquellos con carditis durante FR aguda</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Artritis </del>de Jaccoud</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Artropatía </ins>de Jaccoud</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Deformidades indoloras sin inflamación articular</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Deformidades indoloras sin inflamación articular</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l140">Line 140:</td> <td colspan="2" class="diff-lineno">Line 132:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Enlaces Externos==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Enlaces Externos==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* [http://www.emdocs.net/an-understated-myth-strep-throat-rheumatic-fever/ emDocs - ¿Un <del style="font-weight: bold; text-decoration: none;">mito poco destacado</del>? <del style="font-weight: bold; text-decoration: none;">Dolor de garganta por estreptococos </del>y <del style="font-weight: bold; text-decoration: none;">fiebre reumática</del>]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* [http://www.emdocs.net/an-understated-myth-strep-throat-rheumatic-fever/ emDocs - ¿Un <ins style="font-weight: bold; text-decoration: none;">Mito Subestimado</ins>? <ins style="font-weight: bold; text-decoration: none;">Faringitis Estreptocócica </ins>y <ins style="font-weight: bold; text-decoration: none;">Fiebre Reumática</ins>]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* [https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html/ <del style="font-weight: bold; text-decoration: none;">Pautas de los </del>CDC para <del style="font-weight: bold; text-decoration: none;">la enfermedad </del>por <del style="font-weight: bold; text-decoration: none;">GAS</del>]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* [https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html/ <ins style="font-weight: bold; text-decoration: none;">Guías </ins>CDC para <ins style="font-weight: bold; text-decoration: none;">Enfermedad </ins>por <ins style="font-weight: bold; text-decoration: none;">GEAB</ins>]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Ver también==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Ver también==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Sydenham's chorea|Sydenham<del style="font-weight: bold; text-decoration: none;">'s chorea</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Sydenham's chorea|<ins style="font-weight: bold; text-decoration: none;">Corea de </ins>Sydenham]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> </table> Ostermayer https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=382830&oldid=prev Ostermayer at 23:29, 17 January 2026 2026-01-17T23:29:38Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:29, 17 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l12">Line 12:</td> <td colspan="2" class="diff-lineno">Line 12:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Arthritis|Poliartritis]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Arthritis|Poliartritis]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Síntoma más común (~75%)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Síntoma más común (~75%)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Artritis aséptica con <del style="font-weight: bold; text-decoration: none;">efusiones</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Artritis aséptica con <ins style="font-weight: bold; text-decoration: none;">derrames</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Dura hasta 2 semanas</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Dura hasta 2 semanas</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Artritis poliarticular </del>migratoria y fugaz que afecta principalmente <del style="font-weight: bold; text-decoration: none;">a las </del>articulaciones grandes</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Poliartritis </ins>migratoria y fugaz que afecta principalmente articulaciones grandes</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Myocarditis|Carditis]] (33%)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Myocarditis|Carditis]] (33%)</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Complicación más grave y segunda más común</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Complicación más grave y segunda más común</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Taquicardia</del>|Taquicardia]] desproporcionada <del style="font-weight: bold; text-decoration: none;">con respecto </del>al grado de fiebre es común; su ausencia hace <del style="font-weight: bold; text-decoration: none;">que </del>el diagnóstico de miocarditis <del style="font-weight: bold; text-decoration: none;">sea poco probable</del>&lt;ref&gt;Park M: Parks's Pediatric Cardiology for Practitioners, ed 6. Philadelphia, Saunders-Elsevier., 2014, (Ch) 20: p 368.&lt;/ref&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Tachycardia</ins>|Taquicardia]] desproporcionada al grado de fiebre es común; su ausencia hace <ins style="font-weight: bold; text-decoration: none;">poco probable </ins>el diagnóstico de miocarditis&lt;ref&gt;Park M: Parks's Pediatric Cardiology for Practitioners, ed 6. Philadelphia, Saunders-Elsevier., 2014, (Ch) 20: p 368.&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Nuevo [[Special:MyLanguage/murmur|<del style="font-weight: bold; text-decoration: none;">murmur</del>]], <del style="font-weight: bold; text-decoration: none;">fricción pericárdica</del>, [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">insuficiencia cardíaca</del>|<del style="font-weight: bold; text-decoration: none;">insuficiencia cardíaca</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Nuevo [[Special:MyLanguage/murmur|<ins style="font-weight: bold; text-decoration: none;">soplo</ins>]], <ins style="font-weight: bold; text-decoration: none;">roce pericárdico</ins>, [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">CHF</ins>|<ins style="font-weight: bold; text-decoration: none;">ICR</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Corea de </del>Sydenham|Corea de Sydenham]] (10%)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Sydenham<ins style="font-weight: bold; text-decoration: none;">'s chorea</ins>|Corea de Sydenham]] (10%)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Puede aparecer meses después de la infección por <del style="font-weight: bold; text-decoration: none;">estreptococos</del>, puede ser la única manifestación de la <del style="font-weight: bold; text-decoration: none;">fiebre reumática</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Puede aparecer meses después de la infección por <ins style="font-weight: bold; text-decoration: none;">estreptococo</ins>, puede ser la única manifestación de la <ins style="font-weight: bold; text-decoration: none;">FR</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Los movimientos se extinguen durante el sueño</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Los movimientos se extinguen durante el sueño</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Eritema marginatum (&lt; 10%)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Eritema marginatum (&lt; 10%)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Persiste solo <del style="font-weight: bold; text-decoration: none;">durante </del>varios días</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Persiste solo <ins style="font-weight: bold; text-decoration: none;">por </ins>varios días</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Por lo general, </del>coexiste con <del style="font-weight: bold; text-decoration: none;">la </del>presencia de carditis en alguna forma</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Generalmente </ins>coexiste con presencia de carditis en alguna forma</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Exantema no pruriginoso </del>[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">erupción</del>|<del style="font-weight: bold; text-decoration: none;">erupción</del>]], <del style="font-weight: bold; text-decoration: none;">ubicado </del>en <del style="font-weight: bold; text-decoration: none;">el </del>tronco y <del style="font-weight: bold; text-decoration: none;">las </del>extremidades proximales, nunca en <del style="font-weight: bold; text-decoration: none;">la </del>cara</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">rash</ins>|<ins style="font-weight: bold; text-decoration: none;">Erupción</ins>]] <ins style="font-weight: bold; text-decoration: none;">no pruriginosa</ins>, <ins style="font-weight: bold; text-decoration: none;">ubicada </ins>en tronco y extremidades proximales, nunca en cara</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Nódulos (&lt; 10%)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Nódulos(&lt; 10%)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Ubicados en <del style="font-weight: bold; text-decoration: none;">las </del>superficies extensoras de <del style="font-weight: bold; text-decoration: none;">las </del>muñecas, codos, rodillas</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Ubicados en superficies extensoras de muñecas, codos, rodillas</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l34">Line 34:</td> <td colspan="2" class="diff-lineno">Line 34:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Scarlet fever|Fiebre escarlata]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Scarlet fever|Fiebre escarlata]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Kawasaki Disease|Enfermedad de Kawasaki]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Kawasaki Disease|Enfermedad de Kawasaki]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Formas virales u otras de [[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">miocardipatía</del>|miocardiopatía]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Formas virales u otras de [[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">cardiomyopathy</ins>|miocardiopatía]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Leucemia</del>|Leucemia]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Leukemia</ins>|Leucemia]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Vasculitis|Vasculitis]] ([[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Púrpura de Schönlein-Henoch</del>|<del style="font-weight: bold; text-decoration: none;">Púrpura de Schönlein-Henoch</del>]], reacción <del style="font-weight: bold; text-decoration: none;">a medicamentos</del>)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Vasculitis|Vasculitis]] ([[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">HSP</ins>|<ins style="font-weight: bold; text-decoration: none;">HSP</ins>]], reacción <ins style="font-weight: bold; text-decoration: none;">medicamentosa</ins>)</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Pediatric hip DDX}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Pediatric hip DDX}}</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l48">Line 48:</td> <td colspan="2" class="diff-lineno">Line 48:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Evaluación===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Evaluación===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Hemograma completo <del style="font-weight: bold; text-decoration: none;">(CBC)</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Hemograma completo</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/ECG|ECG]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/ECG|ECG]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Radiografía de tórax</del>|Radiografía de tórax]] <del style="font-weight: bold; text-decoration: none;">(CXR)</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">CXR</ins>|Radiografía de tórax]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">VEL (Velocidad de eritrosedimentación)</del>, <del style="font-weight: bold; text-decoration: none;">CRP (Proteína C reactiva)</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">VSG</ins>, <ins style="font-weight: bold; text-decoration: none;">PCR</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Título de </del>ASO (<del style="font-weight: bold; text-decoration: none;">Antistreptolisina </del>O) <del style="font-weight: bold; text-decoration: none;">Elevado </del>1 semana a 1 mes después de <del style="font-weight: bold; text-decoration: none;">la </del>infección por <del style="font-weight: bold; text-decoration: none;">GAS</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*ASO (<ins style="font-weight: bold; text-decoration: none;">Antiestreptolisina </ins>O) <ins style="font-weight: bold; text-decoration: none;">título elevado </ins>1 semana a 1 mes después de infección por <ins style="font-weight: bold; text-decoration: none;">GEAB</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Título de </del>Anti-<del style="font-weight: bold; text-decoration: none;">DNase </del>B <del style="font-weight: bold; text-decoration: none;">es elevado durante </del>más tiempo que <del style="font-weight: bold; text-decoration: none;">el </del>ASO y puede ser útil para pacientes que <del style="font-weight: bold; text-decoration: none;">se </del>presentan más tarde de 2-4 meses o con <del style="font-weight: bold; text-decoration: none;">un </del>ASO negativo</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Anti-<ins style="font-weight: bold; text-decoration: none;">DNasa </ins>B <ins style="font-weight: bold; text-decoration: none;">título se eleva </ins>más tiempo que ASO y puede ser útil para pacientes que presentan más tarde de 2-4 meses o con ASO negativo</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*ECG - Buscando <del style="font-weight: bold; text-decoration: none;">un </del>PR prolongado u otros bloqueos AV</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*ECG - Buscando PR prolongado u otros bloqueos AV</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Radiografía </del>de tórax <del style="font-weight: bold; text-decoration: none;">(CXR)</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">RX </ins>de tórax</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Eco cardiograma</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Ecocardiograma</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>===Criterios de Jones <del style="font-weight: bold; text-decoration: none;">Modificados </del>(1992) para <del style="font-weight: bold; text-decoration: none;">la </del>Fiebre Reumática Aguda===</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===Criterios <ins style="font-weight: bold; text-decoration: none;">Modificados </ins>de Jones (1992) para Fiebre Reumática Aguda===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>''REQUERIR: 2 criterios mayores o 1 criterio mayor y 2 criterios menores y evidencia de faringitis por GAS previa''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>''REQUERIR: 2 criterios mayores o 1 criterio mayor y 2 criterios menores y evidencia de faringitis por GAS previa''</div></td></tr> </table> Ostermayer https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=379207&oldid=prev Ostermayer: Created page with "*Fiebre escarlata *Enfermedad de Kawasaki *Formas virales u otras de miocardiopatía *Leucemia *Vasculitis (Púrpura de Schönlein-Henoch, reacción a medicamentos)" 2026-01-05T01:53:40Z <p>Created page with &quot;*<a href="/wiki/Special:MyLanguage/Scarlet_fever" title="Special:MyLanguage/Scarlet fever">Fiebre escarlata</a> *<a href="/wiki/Special:MyLanguage/Kawasaki_Disease" title="Special:MyLanguage/Kawasaki Disease">Enfermedad de Kawasaki</a> *Formas virales u otras de <a href="/wiki/Special:MyLanguage/miocardipat%C3%ADa" class="new" title="Special:MyLanguage/miocardipatía (page does not exist)">miocardiopatía</a> *<a href="/wiki/Special:MyLanguage/Leucemia" class="new" title="Special:MyLanguage/Leucemia (page does not exist)">Leucemia</a> *<a href="/wiki/Special:MyLanguage/Vasculitis" title="Special:MyLanguage/Vasculitis">Vasculitis</a> (<a href="/wiki/Special:MyLanguage/P%C3%BArpura_de_Sch%C3%B6nlein-Henoch" class="new" title="Special:MyLanguage/Púrpura de Schönlein-Henoch (page does not exist)">Púrpura de Schönlein-Henoch</a>, reacción a medicamentos)&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 01:53, 5 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l124">Line 124:</td> <td colspan="2" class="diff-lineno">Line 124:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Complicaciones==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Complicaciones==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Enfermedad cardíaca reumática</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Rheumatic Heart Disease</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Causa más común de enfermedad </ins>valvular <ins style="font-weight: bold; text-decoration: none;">cardíaca en todo el mundo</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Worldwide most common cause of </del>valvular <del style="font-weight: bold; text-decoration: none;">heart disease</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Ocurre generalmente </ins>10+ <ins style="font-weight: bold; text-decoration: none;">años después de la FR</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Occurs usually </del>10+ <del style="font-weight: bold; text-decoration: none;">years after RF</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">La válvula mitral es la más comúnmente afectada</ins>, <ins style="font-weight: bold; text-decoration: none;">seguida de la válvula aórtica</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Mitral valve is most commonly affected</del>, <del style="font-weight: bold; text-decoration: none;">followed by aortic valve</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**50% <ins style="font-weight: bold; text-decoration: none;">de aquellos con </ins>carditis <ins style="font-weight: bold; text-decoration: none;">durante la FR aguda</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**50% <del style="font-weight: bold; text-decoration: none;">of those with </del>carditis <del style="font-weight: bold; text-decoration: none;">during acute RF</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Artritis de </ins>Jaccoud</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Jaccoud <del style="font-weight: bold; text-decoration: none;">arthropathy</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Deformidades indoloras sin inflamación articular</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Painless deformities without joint inflammation</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Destino</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=Disposition==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Ingresar (al hospital)</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Admit</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Enlaces Externos</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=External Links==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* [http://www.emdocs.net/an-understated-myth-strep-throat-rheumatic-fever/ emDocs - <ins style="font-weight: bold; text-decoration: none;">¿Un mito poco destacado</ins>? <ins style="font-weight: bold; text-decoration: none;">Dolor de garganta por estreptococos y fiebre reumática</ins>]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* [http://www.emdocs.net/an-understated-myth-strep-throat-rheumatic-fever/ emDocs - <del style="font-weight: bold; text-decoration: none;">An Understated Myth</del>? <del style="font-weight: bold; text-decoration: none;">Strep Throat &amp; Rheumatic Fever</del>]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* [https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html/ <ins style="font-weight: bold; text-decoration: none;">Pautas de los </ins>CDC <ins style="font-weight: bold; text-decoration: none;">para la enfermedad por </ins>GAS]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* [https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html/ CDC <del style="font-weight: bold; text-decoration: none;">guidelines for </del>GAS <del style="font-weight: bold; text-decoration: none;">Disease</del>]</div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Ver también</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=See Also==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang="en" dir="ltr" class="mw-content-ltr"></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Sydenham's chorea|Sydenham's chorea]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Sydenham's chorea|Sydenham's chorea]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Referencias</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=References==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang="en" dir="ltr" class="mw-content-ltr"></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;references/&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;references/&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang="en" dir="ltr" class="mw-content-ltr"></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Pediatrics]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Pediatrics]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:ID]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:ID]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Cardiology]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Cardiology]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div></del></div></td><td colspan="2" class="diff-side-added"></td></tr> </table> Ostermayer https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=379196&oldid=prev Ostermayer: Created page with "==Complicaciones==" 2026-01-05T01:50:35Z <p>Created page with &quot;==Complicaciones==&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 01:50, 5 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l83">Line 83:</td> <td colspan="2" class="diff-lineno">Line 83:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Manejo==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Manejo==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicilina</ins>|<ins style="font-weight: bold; text-decoration: none;">Penicilina</ins>]] - <ins style="font-weight: bold; text-decoration: none;">Indicada para todos con fiebre reumática, incluso si la cultura para </ins>[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">estreptococo</ins>|<ins style="font-weight: bold; text-decoration: none;">estreptococo</ins>]] <ins style="font-weight: bold; text-decoration: none;">es negativa</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicillin</del>|<del style="font-weight: bold; text-decoration: none;">Penicillin</del>]] - <del style="font-weight: bold; text-decoration: none;">Indicated for all with rheumatic fever even if culture for </del>[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">strep</del>|<del style="font-weight: bold; text-decoration: none;">strep</del>]] <del style="font-weight: bold; text-decoration: none;">is negative</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicilina </ins>G|<ins style="font-weight: bold; text-decoration: none;">Penicilina </ins>G]] <ins style="font-weight: bold; text-decoration: none;">600.000 unidades </ins>IM <ins style="font-weight: bold; text-decoration: none;">si </ins>&lt;27 kg, 1<ins style="font-weight: bold; text-decoration: none;">,</ins>2 <ins style="font-weight: bold; text-decoration: none;">millones de unidades </ins>IM <ins style="font-weight: bold; text-decoration: none;">si </ins>&gt;27 kg</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicillin </del>G|<del style="font-weight: bold; text-decoration: none;">Penicillin </del>G]] <del style="font-weight: bold; text-decoration: none;">600K units </del>IM <del style="font-weight: bold; text-decoration: none;">if </del>&lt;27 kg, 1<del style="font-weight: bold; text-decoration: none;">.</del>2 <del style="font-weight: bold; text-decoration: none;">million units </del>IM <del style="font-weight: bold; text-decoration: none;">if </del>&gt;27 kg</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicilina </ins>V|<ins style="font-weight: bold; text-decoration: none;">Penicilina </ins>V]] PO <ins style="font-weight: bold; text-decoration: none;">x 10 días</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicillin </del>V|<del style="font-weight: bold; text-decoration: none;">Penicillin </del>V]] PO <del style="font-weight: bold; text-decoration: none;">x10d</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Para aquellos que son alérgicos a la penicilina</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">For those who are penicillin allergic</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Cefalosporinas de espectro estrecho como </ins>[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Cefalexina</ins>|<ins style="font-weight: bold; text-decoration: none;">cefalexina</ins>]] <ins style="font-weight: bold; text-decoration: none;">20 mg</ins>/kg/<ins style="font-weight: bold; text-decoration: none;">dosis cada 12 horas x 10 días</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Narrow spectrim cephalosporins such as </del>[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">cephalexin</del>|<del style="font-weight: bold; text-decoration: none;">cephalexin</del>]] <del style="font-weight: bold; text-decoration: none;">20mg</del>/kg/<del style="font-weight: bold; text-decoration: none;">dose BID x10d </del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Clindamicina</ins>|<ins style="font-weight: bold; text-decoration: none;">Clindamicina</ins>]] <ins style="font-weight: bold; text-decoration: none;">7 mg</ins>/kg/<ins style="font-weight: bold; text-decoration: none;">dosis cada 8 horas </ins>(<ins style="font-weight: bold; text-decoration: none;">máximo de 300 mg</ins>/<ins style="font-weight: bold; text-decoration: none;">dosis</ins>) PO <ins style="font-weight: bold; text-decoration: none;">x 10 días</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Clindamycin</del>|<del style="font-weight: bold; text-decoration: none;">Clindamycin</del>]] <del style="font-weight: bold; text-decoration: none;">7mg</del>/kg/<del style="font-weight: bold; text-decoration: none;">dose TID </del>(<del style="font-weight: bold; text-decoration: none;">max of 300mg</del>/<del style="font-weight: bold; text-decoration: none;">dose</del>) PO <del style="font-weight: bold; text-decoration: none;">x10d</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Azitromicina</ins>|<ins style="font-weight: bold; text-decoration: none;">Azitromicina</ins>]] <ins style="font-weight: bold; text-decoration: none;">12 mg</ins>/kg <ins style="font-weight: bold; text-decoration: none;">una vez </ins>(<ins style="font-weight: bold; text-decoration: none;">500 mg máximo</ins>) <ins style="font-weight: bold; text-decoration: none;">y luego 6 mg</ins>/kg (<ins style="font-weight: bold; text-decoration: none;">250 mg máximo</ins>) <ins style="font-weight: bold; text-decoration: none;">diariamente durante los siguientes </ins>4 <ins style="font-weight: bold; text-decoration: none;">días</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Azithromycin</del>|<del style="font-weight: bold; text-decoration: none;">Azithromycin</del>]] <del style="font-weight: bold; text-decoration: none;">12mg</del>/kg <del style="font-weight: bold; text-decoration: none;">once </del>(<del style="font-weight: bold; text-decoration: none;">500mg max</del>) <del style="font-weight: bold; text-decoration: none;">and then 6mg</del>/kg (<del style="font-weight: bold; text-decoration: none;">250mg max</del>) <del style="font-weight: bold; text-decoration: none;">daily for the next </del>4 <del style="font-weight: bold; text-decoration: none;">days </del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Profílaxis</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Prophylaxis</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Penicilina </ins>G|<ins style="font-weight: bold; text-decoration: none;">Penicilina </ins>G]] IM <ins style="font-weight: bold; text-decoration: none;">x 1 mes</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Penicillin </del>G|<del style="font-weight: bold; text-decoration: none;">Penicillin </del>G]] IM <del style="font-weight: bold; text-decoration: none;">x1 month</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>::{| class=&quot;wikitable&quot; border=&quot;1&quot;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>::{| class=&quot;wikitable&quot; border=&quot;1&quot;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>! <del style="font-weight: bold; text-decoration: none;">Category</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>! <ins style="font-weight: bold; text-decoration: none;">Categoría</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>! <del style="font-weight: bold; text-decoration: none;">Duration</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>! <ins style="font-weight: bold; text-decoration: none;">Duración</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| <del style="font-weight: bold; text-decoration: none;">Rheumatic fever without </del>carditis</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| <ins style="font-weight: bold; text-decoration: none;">Fiebre reumática sin </ins>carditis</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| 5 <del style="font-weight: bold; text-decoration: none;">years or until age </del>21 <del style="font-weight: bold; text-decoration: none;">years</del>, <del style="font-weight: bold; text-decoration: none;">whichever is longer</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| 5 <ins style="font-weight: bold; text-decoration: none;">años o hasta los </ins>21 <ins style="font-weight: bold; text-decoration: none;">años</ins>, <ins style="font-weight: bold; text-decoration: none;">lo que sea más largo</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| <del style="font-weight: bold; text-decoration: none;">Rheumatic fever with </del>carditis <del style="font-weight: bold; text-decoration: none;">but without </del>residual <del style="font-weight: bold; text-decoration: none;">heart disease </del>(no valvular <del style="font-weight: bold; text-decoration: none;">disease</del>)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| <ins style="font-weight: bold; text-decoration: none;">Fiebre reumática con </ins>carditis <ins style="font-weight: bold; text-decoration: none;">pero sin enfermedad cardíaca </ins>residual (no <ins style="font-weight: bold; text-decoration: none;">hay enfermedad </ins>valvular)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| 10 <del style="font-weight: bold; text-decoration: none;">years or well into adulthood</del>, <del style="font-weight: bold; text-decoration: none;">whichever is longer</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| 10 <ins style="font-weight: bold; text-decoration: none;">años o hasta la edad adulta</ins>, <ins style="font-weight: bold; text-decoration: none;">lo que sea más largo</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| <del style="font-weight: bold; text-decoration: none;">Rheumatic fever with </del>carditis <del style="font-weight: bold; text-decoration: none;">and </del>residual <del style="font-weight: bold; text-decoration: none;">heart disease </del>(<del style="font-weight: bold; text-decoration: none;">persistent </del>valvular <del style="font-weight: bold; text-decoration: none;">disease</del>)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| <ins style="font-weight: bold; text-decoration: none;">Fiebre reumática con </ins>carditis <ins style="font-weight: bold; text-decoration: none;">y enfermedad cardíaca </ins>residual (<ins style="font-weight: bold; text-decoration: none;">enfermedad </ins>valvular <ins style="font-weight: bold; text-decoration: none;">persistente</ins>)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>| 10 <del style="font-weight: bold; text-decoration: none;">years since last episode and at least until age </del>40 <del style="font-weight: bold; text-decoration: none;">years</del>; <del style="font-weight: bold; text-decoration: none;">most commonly lifelong</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>| 10 <ins style="font-weight: bold; text-decoration: none;">años desde el último episodio y al menos hasta los </ins>40 <ins style="font-weight: bold; text-decoration: none;">años</ins>; <ins style="font-weight: bold; text-decoration: none;">comúnmente de por vida</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|}</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Arthritis </del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Artritis</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">High-dose </del>[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">aspirin</del>|<del style="font-weight: bold; text-decoration: none;">aspirin</del>]] <del style="font-weight: bold; text-decoration: none;">therapy </del>(50-<del style="font-weight: bold; text-decoration: none;">100mg</del>/kg/<del style="font-weight: bold; text-decoration: none;">day</del>) <del style="font-weight: bold; text-decoration: none;">has historically been first line</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">La terapia con </ins>[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Aspirina</ins>|<ins style="font-weight: bold; text-decoration: none;">aspirina</ins>]] <ins style="font-weight: bold; text-decoration: none;">de alta dosis </ins>(50-<ins style="font-weight: bold; text-decoration: none;">100 mg</ins>/kg/<ins style="font-weight: bold; text-decoration: none;">día</ins>) <ins style="font-weight: bold; text-decoration: none;">ha sido históricamente la primera línea</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Naproxen may be just as effective with less frequent dosing and fewer side effects </del>&lt;ref&gt;<del style="font-weight: bold; text-decoration: none;">The efficacy and safety of naproxen in acute rheumatic fever</del>: <del style="font-weight: bold; text-decoration: none;">The comparative results of </del>11<del style="font-weight: bold; text-decoration: none;">-year experience with acetylsalicylic acid and naproxen</del>.Turk J Pediatr. 2016;58(5):473. &lt;/ref&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">La naproxeno puede ser tan efectiva con una dosificación menos frecuente y menos efectos secundarios </ins>&lt;ref&gt; <ins style="font-weight: bold; text-decoration: none;">La eficacia y seguridad de la naproxeno en la fiebre reumática aguda</ins>: <ins style="font-weight: bold; text-decoration: none;">los resultados comparativos de </ins>11 <ins style="font-weight: bold; text-decoration: none;">años de experiencia con ácido acetilsalicílico y naproxeno</ins>. Turk J Pediatr. 2016; 58(5): 473. &lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Carditis  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Carditis</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Aspirin is primary treatment</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">La aspirina es el tratamiento principal</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Prednisone</del>|<del style="font-weight: bold; text-decoration: none;">Prednisone</del>]] 1-<del style="font-weight: bold; text-decoration: none;">2mg</del>/kg/<del style="font-weight: bold; text-decoration: none;">day has </del>no <del style="font-weight: bold; text-decoration: none;">benefit over aspirin in proventing heart disease at one year </del>&lt;ref&gt; <del style="font-weight: bold; text-decoration: none;"> </del>Cilliers A, Adler AJ, Saloojee H. <del style="font-weight: bold; text-decoration: none;">Anti-inflammatory treatment for </del>carditis <del style="font-weight: bold; text-decoration: none;">in acute rheumatic fever</del>.Cochrane Database Syst Rev. 2015 &lt;/ref&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Prednisona</ins>|<ins style="font-weight: bold; text-decoration: none;">Prednisona</ins>]] 1-<ins style="font-weight: bold; text-decoration: none;">2 mg</ins>/kg/<ins style="font-weight: bold; text-decoration: none;">día </ins>no <ins style="font-weight: bold; text-decoration: none;">tiene beneficio sobre la aspirina en la prevención de la enfermedad cardíaca a un año </ins>&lt;ref&gt; Cilliers A, Adler AJ, Saloojee H. <ins style="font-weight: bold; text-decoration: none;">Tratamiento antiinflamatorio para la </ins>carditis <ins style="font-weight: bold; text-decoration: none;">en la fiebre reumática aguda</ins>. Cochrane Database Syst Rev. 2015 &lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***<del style="font-weight: bold; text-decoration: none;">Some consider for severe </del>carditis</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***<ins style="font-weight: bold; text-decoration: none;">Algunos consideran para la </ins>carditis <ins style="font-weight: bold; text-decoration: none;">severa</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Standard medical therapy for </del>[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Congestive Heart Failure</del>|<del style="font-weight: bold; text-decoration: none;">Congestive Heart Failure</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Terapia médica estándar para la </ins>[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Insuficiencia cardíaca congestiva</ins>|<ins style="font-weight: bold; text-decoration: none;">insuficiencia cardíaca congestiva</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Chorea </del>- <del style="font-weight: bold; text-decoration: none;">It is self limited but several agents had been described as effective</del>, <del style="font-weight: bold; text-decoration: none;">although not well studied</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Corea </ins>- <ins style="font-weight: bold; text-decoration: none;">Es autolimitada</ins>, <ins style="font-weight: bold; text-decoration: none;">pero varios agentes han sido descritos como efectivos, aunque no están bien estudiados</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Haloperidol|Haloperidol]] 0<del style="font-weight: bold; text-decoration: none;">.</del>01-0<del style="font-weight: bold; text-decoration: none;">.03mg</del>/kg/<del style="font-weight: bold; text-decoration: none;">day in four divided doses</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Haloperidol|Haloperidol]] 0<ins style="font-weight: bold; text-decoration: none;">,</ins>01-0<ins style="font-weight: bold; text-decoration: none;">,03 mg</ins>/kg/<ins style="font-weight: bold; text-decoration: none;">día en cuatro dosis divididas</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Valproate</del>|<del style="font-weight: bold; text-decoration: none;">Valproate</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Valproato</ins>|<ins style="font-weight: bold; text-decoration: none;">Valproato</ins>]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Diazepam|Diazepam]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Diazepam|Diazepam]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Phenobarbital</del>|<del style="font-weight: bold; text-decoration: none;">Phenobarbital</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Fenobarbital</ins>|<ins style="font-weight: bold; text-decoration: none;">Fenobarbital</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<del style="font-weight: bold; text-decoration: none;">Chlorpromazine</del>|<del style="font-weight: bold; text-decoration: none;">Chlorpromazine</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/<ins style="font-weight: bold; text-decoration: none;">Clorpromazina</ins>|<ins style="font-weight: bold; text-decoration: none;">Clorpromazina</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Complicaciones</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=Complications==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</div></td></tr> </table> Ostermayer https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=379193&oldid=prev Ostermayer: Created page with "===Criterios de Jones Modificados (1992) para la Fiebre Reumática Aguda===" 2026-01-05T01:48:34Z <p>Created page with &quot;===Criterios de Jones Modificados (1992) para la Fiebre Reumática Aguda===&quot;</p> <a href="//wikem.org/w/index.php?title=Acute_rheumatic_fever/es&amp;diff=379193&amp;oldid=378841">Show changes</a> Ostermayer https://wikem.org/w/index.php?title=Acute_rheumatic_fever/es&diff=378841&oldid=prev Ostermayer: Created page with "*Principalmente afecta a niños en edad escolar 2‑6 semanas después de Group A streptococcal pharyngitis **No está asociado con impetigo *El tejido conectivo del corazón, las articulaciones, el SNC y los tejidos subcutáneos son objetivo de la reacción inmune" 2026-01-04T15:03:06Z <p>Created page with &quot;*Principalmente afecta a niños en edad escolar 2‑6 semanas después de Group A <a href="/wiki/Special:MyLanguage/streptococcal_pharyngitis" title="Special:MyLanguage/streptococcal pharyngitis">streptococcal pharyngitis</a> **No está asociado con <a href="/wiki/Special:MyLanguage/impetigo" title="Special:MyLanguage/impetigo">impetigo</a> *El tejido conectivo del corazón, las articulaciones, el SNC y los tejidos subcutáneos son objetivo de la reacción inmune&quot;</p> <p><b>New page</b></p><div>&lt;languages/&gt;<br /> <br /> ==Antecedentes==<br /> <br /> *Principalmente afecta a niños en edad escolar 2‑6 semanas después de Group A [[Special:MyLanguage/streptococcal pharyngitis|streptococcal pharyngitis]]<br /> **No está asociado con [[Special:MyLanguage/impetigo|impetigo]]<br /> *El tejido conectivo del corazón, las articulaciones, el SNC y los tejidos subcutáneos son objetivo de la reacción inmune<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Clinical Features==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/Arthritis|Polyarthritis]]<br /> **Most common symptom (~75%)<br /> **Aseptic arthritis with effusions<br /> **Lasts up to 2 weeks<br /> **Migratory, fleeting polyarticular arthritis primarily affecting large joints<br /> *[[Special:MyLanguage/Myocarditis|Carditis]] (33%)<br /> **Most serious complication and second most common<br /> **[[Special:MyLanguage/Tachycardia|Tachycardia]] out of proportion to the degree of fever is common; its absence makes the diagnosis of myocarditis unlikely&lt;ref&gt;Park M: Parks's Pediatric Cardiology for Practitioners, ed 6. Philadelphia, Saunders-Elsevier., 2014, (Ch) 20: p 368.&lt;/ref&gt;<br /> **New [[Special:MyLanguage/murmur|murmur]], pericardial rub, [[Special:MyLanguage/CHF|CHF]]<br /> *[[Special:MyLanguage/Sydenham's chorea|Sydenham's chorea]] (10%)<br /> **May appear months following strep infection, may be sole manifestation of RF<br /> **Movements extinguish during sleep<br /> *Erythema marginatum (&lt; 10%)<br /> **Persists only for several days<br /> **Usually coexists with presence of carditis in some form<br /> **Nonpruritic [[Special:MyLanguage/rash|rash]], located on trunk and proximal limbs, never on face <br /> *Nodules(&lt; 10%)<br /> **Located on extensor surfaces of wrists, elbows, knees<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Differential Diagnosis==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/Scarlet fever|Scarlet fever]]<br /> *[[Special:MyLanguage/Kawasaki Disease|Kawasaki Disease]]<br /> *Viral or other forms of [[Special:MyLanguage/cardiomyopathy|cardiomyopathy]]<br /> *[[Special:MyLanguage/Leukemia|Leukemia]]<br /> *[[Special:MyLanguage/Vasculitis|Vasculitis]] ([[Special:MyLanguage/HSP|HSP]], drug reaction)<br /> &lt;/div&gt;<br /> <br /> {{Pediatric hip DDX}}<br /> <br /> {{Differential Diagnosis Polyarthritis}}<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Evaluation==<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ===Work-Up===<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *CBC<br /> *[[Special:MyLanguage/ECG|ECG]]<br /> *[[Special:MyLanguage/CXR|CXR]]<br /> *ESR, CRP<br /> *ASO (Antistreptolysin O) titer Eleveted 1week to 1 month after GAS infection<br /> *Anti-DNase B titer is elevated longer than ASO and may be useful for patient presenting later than 2-4 months or with a negative ASO<br /> *ECG - Looking for prolonged PR or other AV block<br /> *CXR<br /> *Echocardiogram<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ===Modified Jones Criteria (1992) for Acute Rheumatic Fever===<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ''REQUIRE: 2 major or 1 major and 2 minor criteria and evidence of previous GAS pharyngitis''<br /> *Major diagnostic criteria (CASES)<br /> **Carditis (new or changing [[Special:MyLanguage/murmur|murmur]], cardiomegaly, [[Special:MyLanguage/CHF|CHF]], [[Special:MyLanguage/pericarditis|pericarditis]])<br /> **[[Special:MyLanguage/Arthritis|Arthritis]], migratory polyarthritis (typically affects knees, ankles, elbows, wrists)<br /> **Sydenham's Chorea (abrupt, involuntary, purposeless movements)<br /> **Erythema marginatum (non-pruritic, trunk/extremities, with facial sparing)<br /> **Subcutaneous nodules (painless, firm, usually over bones/tendons)<br /> *Minor diagnostic criteria<br /> **[[Special:MyLanguage/Fever|Fever]]<br /> **[[Special:MyLanguage/Arthralgia|Arthralgia]]<br /> **History of previous attack of rheumatic fever<br /> **Prolonged PR interval<br /> **Elevated ESR, CRP<br /> *Evidence of preceding [[Special:MyLanguage/streptococcal|streptococcal]] infection<br /> **Increased ASO or other strep ab<br /> **Positive throat culture for [[Special:MyLanguage/Group A strep|Group A strep]]<br /> **Positive rapid GAS<br /> **Recent [[Special:MyLanguage/scarlet fever|scarlet fever]]<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Management==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/Penicillin|Penicillin]] - Indicated for all with rheumatic fever even if culture for [[Special:MyLanguage/strep|strep]] is negative<br /> **[[Special:MyLanguage/Penicillin G|Penicillin G]] 600K units IM if &lt;27 kg, 1.2 million units IM if &gt;27 kg<br /> **[[Special:MyLanguage/Penicillin V|Penicillin V]] PO x10d<br /> *For those who are penicillin allergic<br /> **Narrow spectrim cephalosporins such as [[Special:MyLanguage/cephalexin|cephalexin]] 20mg/kg/dose BID x10d <br /> **[[Special:MyLanguage/Clindamycin|Clindamycin]] 7mg/kg/dose TID (max of 300mg/dose) PO x10d<br /> **[[Special:MyLanguage/Azithromycin|Azithromycin]] 12mg/kg once (500mg max) and then 6mg/kg (250mg max) daily for the next 4 days <br /> *Prophylaxis<br /> **[[Special:MyLanguage/Penicillin G|Penicillin G]] IM x1 month<br /> ::{| class=&quot;wikitable&quot; border=&quot;1&quot;<br /> |-<br /> ! Category<br /> ! Duration<br /> |-<br /> | Rheumatic fever without carditis<br /> | 5 years or until age 21 years, whichever is longer<br /> |-<br /> | Rheumatic fever with carditis but without residual heart disease (no valvular disease)<br /> | 10 years or well into adulthood, whichever is longer<br /> |-<br /> | Rheumatic fever with carditis and residual heart disease (persistent valvular disease)<br /> | 10 years since last episode and at least until age 40 years; most commonly lifelong<br /> |}<br /> *Arthritis <br /> **High-dose [[Special:MyLanguage/aspirin|aspirin]] therapy (50-100mg/kg/day) has historically been first line<br /> **Naproxen may be just as effective with less frequent dosing and fewer side effects &lt;ref&gt;The efficacy and safety of naproxen in acute rheumatic fever: The comparative results of 11-year experience with acetylsalicylic acid and naproxen.Turk J Pediatr. 2016;58(5):473. &lt;/ref&gt;<br /> *Carditis <br /> **Aspirin is primary treatment<br /> **[[Special:MyLanguage/Prednisone|Prednisone]] 1-2mg/kg/day has no benefit over aspirin in proventing heart disease at one year &lt;ref&gt; Cilliers A, Adler AJ, Saloojee H. Anti-inflammatory treatment for carditis in acute rheumatic fever.Cochrane Database Syst Rev. 2015 &lt;/ref&gt;<br /> ***Some consider for severe carditis<br /> **Standard medical therapy for [[Special:MyLanguage/Congestive Heart Failure|Congestive Heart Failure]]<br /> *Chorea - It is self limited but several agents had been described as effective, although not well studied<br /> **[[Special:MyLanguage/Haloperidol|Haloperidol]] 0.01-0.03mg/kg/day in four divided doses<br /> **[[Special:MyLanguage/Valproate|Valproate]]<br /> **[[Special:MyLanguage/Diazepam|Diazepam]]<br /> **[[Special:MyLanguage/Phenobarbital|Phenobarbital]]<br /> **[[Special:MyLanguage/Chlorpromazine|Chlorpromazine]]<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Complications==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *Rheumatic Heart Disease<br /> **Worldwide most common cause of valvular heart disease<br /> **Occurs usually 10+ years after RF<br /> **Mitral valve is most commonly affected, followed by aortic valve<br /> **50% of those with carditis during acute RF<br /> *Jaccoud arthropathy<br /> **Painless deformities without joint inflammation<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Disposition==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *Admit<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==External Links==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> * [http://www.emdocs.net/an-understated-myth-strep-throat-rheumatic-fever/ emDocs - An Understated Myth? Strep Throat &amp; Rheumatic Fever]<br /> * [https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html/ CDC guidelines for GAS Disease]<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==See Also==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/Sydenham's chorea|Sydenham's chorea]]<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==References==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> &lt;references/&gt;<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> [[Category:Pediatrics]]<br /> [[Category:ID]]<br /> [[Category:Cardiology]]<br /> &lt;/div&gt;</div> Ostermayer