Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair
The present study aims to determine the limitations of traditional Jones criteria during the first episode of acute rheumatic fever (ARF) at the initial referral hospital, in a cohort of patients below 18 years old who had undergone mitral valve repair in National Heart Institute (IJN) from 2011 to...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/77947/ http://psasir.upm.edu.my/id/eprint/77947/1/2020042012115644_MJMHS_0361.pdf |
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| author | Yubbu, Putri Jamaluddin, Johan Aref Chang, Lydia Munn Ying Kandavello @ Kandhavel, Geetha Alwi, Mazeni Samion @ Mingan, Hasri Othman, Norlijah |
| author_facet | Yubbu, Putri Jamaluddin, Johan Aref Chang, Lydia Munn Ying Kandavello @ Kandhavel, Geetha Alwi, Mazeni Samion @ Mingan, Hasri Othman, Norlijah |
| author_sort | Yubbu, Putri |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | The present study aims to determine the limitations of traditional Jones criteria during the first episode of acute rheumatic fever (ARF) at the initial referral hospital, in a cohort of patients below 18 years old who had undergone mitral valve repair in National Heart Institute (IJN) from 2011 to 2016. Carditis followed by fever and joint involvement were the most frequent manifestations at first diagnosis. Of the 50 patients, only seven (14%) fulfilled the traditional Jones criteria for the diagnosis of the first episode of ARF. When compulsory evidence of a previous group A Beta hemolytic streptococcus (GABHS) was disregarded, this figure rose to 54%. Therefore, strict adherence to Jones criteria with absolute documentation of GABHS will lead to underdiagnoses of ARF. The application of echocardiographic diagnostic criteria of rheumatic heart disease (RHD) needs to be emphasized to allow early diagnosis and administration of secondary prophylaxis to prevent progression to severe valvular disease. |
| first_indexed | 2025-11-15T12:12:22Z |
| format | Article |
| id | upm-77947 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:12:22Z |
| publishDate | 2020 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-779472020-05-04T17:49:17Z http://psasir.upm.edu.my/id/eprint/77947/ Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair Yubbu, Putri Jamaluddin, Johan Aref Chang, Lydia Munn Ying Kandavello @ Kandhavel, Geetha Alwi, Mazeni Samion @ Mingan, Hasri Othman, Norlijah The present study aims to determine the limitations of traditional Jones criteria during the first episode of acute rheumatic fever (ARF) at the initial referral hospital, in a cohort of patients below 18 years old who had undergone mitral valve repair in National Heart Institute (IJN) from 2011 to 2016. Carditis followed by fever and joint involvement were the most frequent manifestations at first diagnosis. Of the 50 patients, only seven (14%) fulfilled the traditional Jones criteria for the diagnosis of the first episode of ARF. When compulsory evidence of a previous group A Beta hemolytic streptococcus (GABHS) was disregarded, this figure rose to 54%. Therefore, strict adherence to Jones criteria with absolute documentation of GABHS will lead to underdiagnoses of ARF. The application of echocardiographic diagnostic criteria of rheumatic heart disease (RHD) needs to be emphasized to allow early diagnosis and administration of secondary prophylaxis to prevent progression to severe valvular disease. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/77947/1/2020042012115644_MJMHS_0361.pdf Yubbu, Putri and Jamaluddin, Johan Aref and Chang, Lydia Munn Ying and Kandavello @ Kandhavel, Geetha and Alwi, Mazeni and Samion @ Mingan, Hasri and Othman, Norlijah (2020) Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair. Malaysian Journal of Medicine and Health Sciences, 16 (2). pp. 316-319. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020042012115644_MJMHS_0361.pdf |
| spellingShingle | Yubbu, Putri Jamaluddin, Johan Aref Chang, Lydia Munn Ying Kandavello @ Kandhavel, Geetha Alwi, Mazeni Samion @ Mingan, Hasri Othman, Norlijah Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| title | Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| title_full | Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| title_fullStr | Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| title_full_unstemmed | Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| title_short | Traditional Jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| title_sort | traditional jones criteria: limitation in the diagnosis of rheumatic fever in patients with mitral valve repair |
| url | http://psasir.upm.edu.my/id/eprint/77947/ http://psasir.upm.edu.my/id/eprint/77947/ http://psasir.upm.edu.my/id/eprint/77947/1/2020042012115644_MJMHS_0361.pdf |