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

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Quizplus · Accepted Answer

Acute rheumatic fever is a systemic connective tissue disease that occurs after a streptococcal pharyngitis or a skin infection. It may result in serious cardiac valvular involvement of the mitral or aortic valve. Often the valve becomes stenotic and regurgitant. Prevention is adequate treatment of streptococcal pharyngitis or skin infections. The other possible answers do not have the presenting manifestations and occur mostly in older adults.

Ms S Is a 22-Year-Old Secretary