The Jones criteria for guidance in the diagnosis of rheumatic fever: another perspective

Article Abstract:

The Jones criteria for the diagnosis of rheumatic fever remain a model clinical practice guideline fifty years after their formulation. Based on extensive clinical observation, Dr. T. Duckett Jones formulated parameters for the diagnosis of rheumatic fever in 1944. These strict guidelines dubbed the Jones criteria were necessary for the consistent diagnosis of rheumatic fever, the delineation of associated symptoms, and the collection of incidence data. During the ensuing 50 years, the Jones criteria were revised and adapted in response to new medical knowledge. Despite these changes, the original framework has endured and was used by doctors to diagnose outbreaks of rheumatic fever in the mid-1980s. Considering the primitive understanding of rheumatic fever and its association with streptococcal infection in the 1940s, Jones' achievement is quite remarkable.

Usage, Appreciation, Practice guidelines (Medicine), Rheumatic fever, Jones, T. Duckett

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Pharyngeal findings of group A streptococcal pharyngitis

Article Abstract:

Redness, eruptions, swelling, and discharge in the throat may be indicative of group A streptococcal infection in children with pharyngitis. Researchers compared symptoms and diagnostic test results from 192 children with serious sore throats. Eruptions on the palate and uvula, redness of the throat, tonsils, and uvula, and other symptoms were significantly more common in children with strep throat. No combination of predictive symptoms was strongly enough associated with streptococcal infection, so a diagnostic throat culture or antigen detection test is still required.

Streptococcal infections, Medical examination, Physiological aspects, Children, Pharyngitis, Sore throat, Pharynx, Throat

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Lyme disease and facial nerve palsy: more questions than answers

Article Abstract:

Cerebrospinal fluid testing and intravenous antibiotics may not be indicated in children with facial palsy caused by Lyme disease. Facial palsy can result from Lyme disease, an infection spread by ticks, as well as other causes. Blood tests for antibodies against the Lyme disease organism have poor accuracy, and some have suggested lumbar puncture to obtain cerebrospinal fluid for testing. Patients with facial palsy from Lyme disease often recover regardless of treatment. There is insufficient evidence to merit invasive testing and treatment of these patients.

Care and treatment, Causes of, Lyme disease, Paralysis, Facial, Facial paralysis

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