Carditis during Second Attacks of Rheumatic Fever

The natural history of acute rheumatism.

“…So while there is a tendency for recurrences to follow the same pattern as the initial attack this is by no means constant. This is in accord with the findings of Kuttner and Mayer (1963), who stated that at least 25 per cent. of cases did not follow a repetitive pattern in recurrences.…”

Acute rheumatic fever following streptococcal wound infection

“…indefinitely because of the risk of recurrent skin infection with 3-haemolytic streptococci and, therefore, a greater liability to rheumatic carditis. Kuttner and Mayer (1963) found that up to 60%. of patients with rheumatic carditis re-developed it in subsequent attacks with more severe valve damage.…”

Review of American and English literature for the years 1963 and 1964 (Seventeenth Rheumatism Review)

“…In a retrospective study recurrences in 50 patients who had had no carditis with their first attack were characterized by carditis in 13 (26%) and left permanent cardiac damage in 6 (12%) (693 [Tlie evidence is not quite convincing that this reprvsented a cutaneous variant of the dwumatic subcutaneous nodules in a patient with rheumatic carditis. Ed.]…”