Major and Minor Criteria
Low Risk Populations
| Major manifestations |
|
| Minor manifestations |
- Polyarthralgia
- Fever (≥38.5oC)
- Elevated acute phase reactants (ESR ≥60 mm in the first hour or CRP ≥3.0 mg/dl)
- Prolonged PR interval on electrocardiography, after accounting for age variability (unless carditis is a major criterion)
|
-
| Major manifestations |
- Carditis (clinical or subclinical)
- Arthritis (monoarthritis or polyarthritis, as well as polyarthralgia if other causes have been excluded)
- Chorea
- Erythema marginatum
- Subcutaneous nodules
|
| Minor manifestations |
- Monoarthralgia
- Fever (≥38.5oC)
- Elevated acute phase reactants (ESR ≥30 mm/hour or CRP >3.0 mg/dl)
- Prolonged PR interval on electrocardiography, after accounting for age variability (unless carditis is a major criterion)
|
Diagnostic Criteria
OR
- 1 Major and 1 Minor Manifestation
Preceding group A streptococcal diagnosis should be documented
Recurrent Episodes
Additional exposures are not necessary for recurrent infection
Criteria for Presumptive Dx in Recurrent Disease
2 major manifestations
1 major and 2 minor manifestations
3 minor manifestations
