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Acute rheumatic fever and rheumatic heart disease in resource-limited settings
  1. Gabriella Watson1,
  2. Bintou Jallow1,
  3. Kirsty Le Doare1,2,
  4. Kuberan Pushparajah3,
  5. Suzanne T Anderson1
  1. 1Gambia Unit, Medical Research Council, Fajara, The Gambia
  2. 2Wellcome Centre for Global Health Research, Imperial College, London, UK
  3. 3Department of Congenital Heart Disease, Evelina London Children's Hospital, Guy's & St Thomas’ NHS Foundation Trust, London, UK
  1. Correspondence to Dr Gabriella Watson, Gambia Unit, Medical Research Council, PO Box 273 Fajara, The Gambia; gw{at}


Poststreptococcal complications, such as acute rheumatic fever (ARF) and rheumatic heart disease (RHD), are common in resource-limited settings, with RHD recognised as the most common cause of paediatric heart disease worldwide. Managing these conditions in resource-limited settings can be challenging. We review the investigation and treatment options for ARF and RHD and, most importantly, prevention methods in an African setting.

  • acute rheumatic fever
  • rheumatic heart disease
  • resource-limited setting
  • management
  • group A stretococcus

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