Acute rheumatic fever

Diagnostic Testing (16)

C-Reactive Protein, High Sensitivity (hsCRP)

Note:

Group A Streptococcus (Streptococcus pyogenes), Molecular Detection, PCR

Note: Rule out Streptococcal infection.

Complete Blood Cell Count (CBC) with Differential

Note:

DNase-B Antibody

Note:

Anti-Streptolysin O (ASO)

Note:

Antinuclear Antibody (ANA) Screen

Note: Differential diagnosis of arthritis.

Complete Urinalysis

Note:

Erythrocyte Sedimentation Rate (ESR)

Note:

Group A Streptococcus (Streptococcus pyogenes) Antibody (Streptozyme), Titer

Note: If culture is negative and symptoms of Rheumatic fever are indicated.

Myocardial Antibody, IgG

Note: Rule out Rheumatic heart disease.

Rheumatoid Factor (RF)

Note: Differential diagnosis of arthritis.

Autoimmune Brain Panel (The Cunningham Panel™ for Autoimmune Neuropsychiatric Disorders)

Note:

Bacterial Culture, Blood

Note: If patient is febrile. Differential diagnosis of bacterial endocarditis.

Comprehensive Metabolic Panel

Note:

Culture, Throat

Note: Rule out Streptococcal infection. Use this test if Group A strep by molecular is not available.

Synovial Fluid Analysis

Note: If arthritis present are involved.

Disease Management Testing (6)

C-Reactive Protein, High Sensitivity (hsCRP)

Note:

Anti-Streptolysin O (ASO)

Note:

Complete Blood Cell Count (CBC)

Note:

Complete Urinalysis

Note:

Comprehensive Metabolic Panel

Note:

Erythrocyte Sedimentation Rate (ESR)

Note:

Other Supportive/Alternative Tests (3)

Basic Metabolic Panel (BMP)

Note: Alternative to Comprehensive Metabolic Panel.

Blood Culture (Bloodstream Infection) Pathogen and Resistance Gene Panel, Molecular

Note: If culture is positive. Molecular method is more specific and sensitive and rapid.

Antimicrobial Susceptibility (AST) Testing with Minimum Inhibitory Concentration (MIC)

Note: If culture positive.

Acute rheumatic fever Disease

Acute rheumatic fever
Disease