Ms. s. is a 22-year-old secretary. she presents with fatigue, malaise, and a rash. on auscultation of her heart, you note murmurs of mitral regurgitation and aortic stenosis. she reports a recent severe sore throat. you suspect:
The answer is acute rheumatic fever. Rheumatic fever is an
autoimmune disease that may happen after a group a streptococcal throat contamination
that sources inflammatory lesions in connective tissue. The symptoms of this
kind of disease joints pain, joint stiffness, fatigue and hair loss.
