Which of the following statements is TRUE about rheumatic fever?

Question

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The incidence of rheumatic fever has declined significantly in the U.S. and other developed countries since the introduction of antibiotics in the mid-20th century. However, it is still prevalent in developing countries. It mainly affects children and young adults, not older adults. It can cause damage to the heart, joints, and other organs, but not the liver. It is caused by an untreated streptococcal infection, not diabetes.

Which of the Following Statements Is TRUE About Rheumatic Fever