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Can Fam Physician
Vol. 55, No. 5, May 2009, pp.475 - 478
Copyright © 2009 by The College of Family Physicians of Canada
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Clinical Review

Update on acute rheumatic fever

It still exists in remote communities

Sharen Madden, MD CCFP FCFP and Len Kelly, MD MClinSc CCFP FCFP
Dr Madden is an Assistant Professor and Dr Kelly is an Associate Professor in the Division of Clinical Sciences at the Northern Ontario School of Medicine in Sioux Lookout, Ont

Correspondence: Dr S. Madden, Northern Ontario School of Medicine, Box 489, Sioux Lookout, ON P8T 1A8; e-mailsmadden{at}slmhc.on.ca

OBJECTIVE To remind physicians who work with aboriginal populations of the ongoing prevalence of acute rheumatic fever and to review the recent evidence on presentation, treatment, and secondary prophylaxis.

SOURCES OF INFORMATION The Cochrane Database of Systematic Reviews, MEDLINE, and EMBASE were searched from 1996 to 2007 with a focus on prevention, epidemiology, and disease management. Case series data from medical records at the Sioux Lookout Meno Ya Win Health Centre in Ontario were also used.

MAIN MESSAGE Acute rheumatic fever is still a clinical entity in aboriginal communities in northwest Ontario. Identification, treatment, and secondary prophylaxis are necessary.

CONCLUSION Acute rheumatic fever is not a forgotten disease and still exists in remote areas of Canada.






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Copyright © 2009 by The College of Family Physicians of Canada.