Acute rheumatic fever in young adult patients: a case report

Acute rheumatic fever (ARF) is an inflammatory response to group A Streptococcus (GAS) infection. The incidence ranges from 8 to 51 per 100.000 children and young adults worldwide. A 19-year-old male patient admitted with complaint of abdominal pain and joint pain of knee in both legs and elbow in both hands. Multiple erythematous macules, round in shape, elevated of white blood cells and anti-streptolysin O titer (ASOT) are present in this case. The diagnosis of ARF is made using the Jones criteria. Intramuscular benzathine penicillin G as a single dose is recommended for management of ARF and as secondary prophylaxis to prevent recurrences. Comprehensive treatment was needed for patient with rheumatic fever to prevent reoccurrence and also complication which may arise.