Heart Association guideline). If there are not features to warrant a diagnosis of rheumatic fever, it is arguable whether cardiac risk justifies prophylaxis or not; however, it is likely to reduce recurrence.

Other treatments

There are several historical case series reporting successful treatment of Sydenham's chorea by inducing fever.

Prognosis

Symptoms usually get worse over the course of two weeks, then stabilize, and finally begin to improve. Motor problems, including chorea, settle within an average of

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