Severe Pharyngodynia Followed by Migratory Polyarthritis and High Fever in Young Immigrants: Remember That Rheumatic Fever Is Still Relevant in 2020!

Table 1

Revised Jones criteria (2015). Diagnosis of acute rheumatic fever (ARF) requires two major criteria or one major and two minor criteria. Recurrent ARF episodes in patients with rheumatic heart disease (RHD) can be diagnosed even in the presence of only three minor criteria.

Major criteria	Carditis
	Polyarthritis
	Chorea
	Erythema marginatum
	Subcutaneous nodules
Minor criteria	Fever ≥ 38.5°C
	Erythrocyte sedimentation rate (ESR) ≥ 60 mm and/or C-reactive protein (CRP) ≥ 3.0 mg/dL
	Prolonged PR interval

Slight modifications are applied to moderate- and high-risk populations (mono- or oligoarthritis as a major criterion, ESR ≥ 30 mm). Unless carditis is used as a major criterion.