Pediatr Ann
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Several areas in the United States have experienced significant outbreaks of acute rheumatic fever. Reasons for the reappearance of acute rheumatic fever are incompletely understood but may relate to changes in the organism. ⋯ Given the resurgence in cases of acute rheumatic fever, the practicing physician needs to be vigilant in diagnosing and ensuring adequate treatment of acute streptococcal pharyngitis. In addition, acute rheumatic fever must be considered in a patient who presents with a new onset murmur, a migratory polyarthritis, chorea, or a rash suggestive of erythema marginatum.
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Familiarity with and adherence to the above principles may not make you claim or judgment proof, but they should improve patient care in your office and decrease your exposure to medico-legal interventions. Always bear in mind that medical practice is not a right conferred upon you by virtue of your medical degree, but rather a privilege granted you by state statute and licensure.