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Update on acute rheumatic fever: it still exists in remote communities Madden S; Kelly LCan Fam Physician 2009[May]; 55 (5): 475-8OBJECTIVE: To remind physicians who work with aboriginal populations of the ongoing prevalence of acute rheumatic fever and to review the recent evidence on presentation, treatment, and secondary prophylaxis. SOURCES OF INFORMATION: The Cochrane Database of Systematic Reviews, MEDLINE, and EMBASE were searched from 1996 to 2007 with a focus on prevention, epidemiology, and disease management. Case series data from medical records at the Sioux Lookout Meno Ya Win Health Centre in Ontario were also used. MAIN MESSAGE: Acute rheumatic fever is still a clinical entity in aboriginal communities in northwest Ontario. Identification, treatment, and secondary prophylaxis are necessary. CONCLUSION: Acute rheumatic fever is not a forgotten disease and still exists in remote areas of Canada.|*Rheumatic Fever/diagnosis/drug therapy/epidemiology[MESH]|Anti-Bacterial Agents/*therapeutic use[MESH]|Diagnosis, Differential[MESH]|Humans[MESH]|Incidence[MESH]|Ontario/epidemiology[MESH]|Prognosis[MESH] |
