Rheumatic fever

An untreated sore throat can lead to a serious illness: rheumatic fever.

Summary

Children and young people are the most likely to get rheumatic fever. It occurs after ‘strep throat’ – a throat infection caused by the Streptococcus bacteria.

Most strep throat gets better and doesn’t lead to rheumatic fever. However, in a small number of people an untreated strep throat develops into rheumatic fever, where their heart, joints, brain and skin become inflamed and swollen.

While the symptoms of rheumatic fever may disappear on their own, the inflammation can cause rheumatic heart disease, where there is scarring of the heart valves.

People with rheumatic heart disease may need heart valve replacement surgery, and it can cause premature death.


Find out more from the Ministry

Information about what the Ministry and the health sector are doing to address rheumatic fever in New Zealand. - Rheumatic fever

Symptoms

 If a child or family member has rheumatic fever, they’re likely to have:

  • a warm, swollen painful joint (or joints)
  • fever
  • tiredness
  • stomach pain.

Sometimes they may also have:

  • a skin rash
  • lumps under the skin that aren’t itchy or painful
  • jerky, uncoordinated movements of their hands, feet, tongue and face.

Prevention

If you or a family member has a sore throat please seek medical assistance. If you have strep throat, you’ll be given antibiotics to clear up the infection before it can develop into rheumatic fever.

It’s important to take the full course of antibiotics.

Living with

  • People who have had rheumatic fever need extra medical care for many years afterwards, to prevent further damage to their heart. This includes 10 years of monthly penicillin injections.
  • People who develop rheumatic heart disease need cardiology and specialist dental care.