Rheumatic Fever - #10492
I am a 17-year-old female who was diagnosed with suspected Acute Rheumatic Fever in December 2025 after joint swelling. Initial blood tests showed elevated inflammatory markers: the C-reactive protein test was about 40.7 and later increased to 65.19, while the Erythrocyte Sedimentation Rate rose from 24 to 40. I was treated with aspirin and clarithromycin (Claribid 500). After around 14 days of treatment, my inflammatory markers improved significantly (CRP 2.84 and ESR 16). My symptoms also improved during this period. Follow-up blood tests in February showed CRP 1.47 and ESR 15, which are within normal limits. Currently, I have no symptoms such as joint pain, fever, or sore throat. A heart evaluation was reportedly normal, and there was no evidence of rheumatic heart involvement. My doctor prescribed antibiotics for about three months but has now stopped them since my tests and symptoms are normal. I am concerned about the possibility of recurrence if I develop another Streptococcal Pharyngitis in the future. I also wonder whether my illness could have been Post-streptococcal Reactive Arthritis rather than true rheumatic fever. I would appreciate guidance on whether stopping antibiotic prophylaxis after three months is reasonable in this situation.
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