Healio Rheuminations

A Wandering Fire


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Join me as I explore a case of fever and migratory inflammatory arthritis, then discuss the case with the double-boarded rheumatologist/infectious disease expert, Cassandra Calabrese, DO.

  • Intro :10
  • My new book :24
  • Inside this episode 1:20
  • Case presentation 1:38
  • Introducing Dr. Cassandra Calabrese 9:22
  • The interview 10:40
  • Was the patient’s presentation typical for rheumatic fever? 10:58
  • Do most rheumatic fever cases have migratory arthritis? 13:23
  • How different is this from reactive arthritis? 15:42
  • What’s the deal with aspirin in this condition? 17:26
  • What are the skin manifestations? 18:19
  • Tell us about Sydenham chorea 20:23
  • What’s the difference between valvulitis and carditis? 22:07
  • Tell us about heart disease and recurrence 23:13
  • Can you talk about rheumatic fever recurrence? 24:32
  • Continuous prophylaxis 25:41
  • Can you walk us through the ASO (antistreptolysin O) titer? 26:20
  • How long is this on the differential? 28:38
  • Summary of our discussion 29:43
  • Thank you, Dr. Calabrese 32:18

We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum

Cassandra Calabrese, DO, is a rheumatologist in the department of rheumatic and immunologic disease and the department of infectious disease at Cleveland Clinic.

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Healio RheuminationsBy Adam J. Brown, MD

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