UPDATED JONES CRITERIA FOR RHEUMATIC FEVER


Criteria apply only to an initial attack

"High probability" of ARF if evidence of recent Gp A Strep inf (throat cx, streptozyme, or elevated or rising strep Ab titers) and (2 major or 1 major + 2 minor)

Major Minor
Carditis Arthralgia
Polyarthritis Fever
Chorea Elevated ESR
Erythema marginatum Elevated CRP
Subcutaneous nodules Prolonged PR interval

Erythema marginatum = pink, raised, macular rash with sharply demarcated borders

(JAMA 268:2069, Oct. 92)