How is acute rheumatic fever treated?

  1. Bed rest until all signs of acute rheumatic fever have disappeared and the resting heart rate is normal. All children with acute rheumatic fever should be admitted to hospital if possible
  2. Amoxycillin 10 mg/kg 6 hourly orally for 10 days or a single dose of benzathine penicillin 1.2 million units intramuscularly.
  3. Aspirin for symptomatic relief of fever and joint pain. Acute rheumatic fever is one of the very few indication for aspirin in children.
  4. Observe closely for signs of heart failure.

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