Ms. Zhao Shujuan, who is in , Putian City, Fujian Province, has had sore throat, fever, joints, swollen and painful, palpitations and shortness of breath for half a month. She always thought it was a common cold, so she didn't care too much. Until I couldn't bear it anymore, I went to the hospital to find out that I was suffering from rheumatism and fever . When it comes to rheumatism and fever, many people are unfamiliar with it. If you don’t pay attention to the occurrence of bacterial infections such as tonsillitis and , it may cause multiple diseases, such as acute sinusitis, otitis media, bronchitis, and may also cause secondary rheumatism and fever. Don’t think that taking some cold medicine will make everything good. You should go to the hospital in time.
rheumatism and upper respiratory tract infection are very similar to
Cold actually refers to two diseases, namely "common cold" and "influenza". What we generally call common cold. The common cold is also called "upper respiratory infection" in a narrow sense, which is a common acute respiratory infectious disease, mostly caused by viruses.
Bacterial infection is mostly secondary because viral infection damages the local defense function of the upper respiratory tract, causing latent bacteria to invade the upper respiratory tract. A few are primary infections, and the common cells are β-type A group hemolytic streptococci , pneumococci , Staphylococcus , and Haemophilus influenzae , etc. It can also be mixed infection with viruses and bacteria. Common colds are usually mild, have short courses, can heal themselves, and have obvious local symptoms, such as nasal congestion, runny nose, sneezing, etc. The accompanying systemic symptoms are mild, and occasionally there will be systemic symptoms such as headaches and sore muscles all over the body, but they are generally not serious, so many patients are unwilling to seek medical treatment in time.
A few people may experience multiple diseases after catching a cold. Due to the reasons that lead to a reduction in local defense function of the whole body or respiratory tract, such as cold, rain, climate mutations, excessive fatigue, etc., viruses or bacteria that already exist in the upper respiratory tract or invade from the outside can reproduce rapidly. Upper respiratory infections manifested in pharyngitis may also secondary to rheumatic fever and induce rheumatic heart disease.
Rheumatoid fever is a common recurrent acute systemic connective tissue inflammation, which is associated with group A hemolytic streptococci infection and autoimmune system disorders. This disease initially only has sore throat and fever, which looks like a general upper respiratory tract infection. If not treated in time, it will gradually develop into rheumatism and fever. Patients with rheumatic fever who have not healed for a long time or have recurring recurrence may develop hypertension, hyperlipidemia, hyperglycemia, and hyperuricemia, which are mostly caused by long-term use of glucocorticoids.
The biggest harm of rheumatic heat is to invade the heart and joints, causing rheumatic pathological damage to the myocardium, endocardial, and heart valves. Even if myocarditis is cured, the damage to the heart cannot be restored, leaving sequelae, and seriously affecting the patient's physical and mental health. Therefore, once symptoms of rheumatic heart disease are found, you should go to the cardiovascular department for treatment. This is because rheumatic fever may bring serious complications, such as recurrence of rheumatic fever, infectious endocarditis , atrial fibrillation, heart failure , cerebral embolism, etc.
Key joint pain when catching a cold, beware of
Cold colds are very common, rheumatism and fever are not common. Rheumatoid fever is typical clinical manifestations of wandering arthritis, cardiitis, subcutaneous nodules, annular erythema, and chorea. The lesions can occur acute or chronic recurrence. During acute attacks, the affected joints appear red, swelling, burning, pain and limited movement, mainly affecting the large joints such as the knees, ankles, elbows, and wrists. Most rheumatic fever symptoms are not typical. In the early stages, it may manifest as joint diseases, or just colds, sore throats and other diseases. Many patients often mistake fever and fatigue during the onset as general colds and fevers.
Rheumatoid erythema is a rash, which manifests as a light red annular spot with varying sizes and pale centers, distributed on the trunk and limbs close to the trunk. It usually appears suddenly and disappears for several hours or one or two days, and will no longer occur after it disappears. However, there are also a few patients with annular erythema appearing and recurring, which can last for several weeks. A few patients with rheumatoid fever may have subcutaneous nodules. This nodule is slightly hard and painless, not sticky to the skin, and appears on the surface protruding outwards of joints such as elbows, knees, wrists, or at the locations where the back of the head and spine protrude. There are no inflammatory changes such as redness, swelling, etc. on the surface.
Usually, a cold will not last more than a week, while rheumatism and heat often last for a long time.Many patients with rheumatic fever have acute pharyngitis and and tonsillitis, such as fever, sore throat, cough, swollen submandibular lymph nodes, and may also have symptoms such as fatigue, sweating, anemia, and weight loss. Some people may also have no discomfort. Therefore, if a patient experiences throat pain, fever, or joint pain after a period of time after catching a cold, he should suspect that he has rheumatism and should go to the hospital for diagnosis and treatment in time.
If the patient ignores these complications, the condition may be worsened. Some patients with rheumatic heart disease are careless in the early stage and do not treat it in time, leaving serious consequences, such as heart failure and arrhythmia.
For patients with colds who have already developed fever, annular erythema or subcutaneous nodules, joint pain, or even palpitations and shortness of breath, they must go to the hospital for detailed examination and treatment, such as electrocardiogram, blood routine and rheumatism. The treatment effect is quite good after early diagnosis of rheumatic fever. As long as drug intervention is used, the treatment is appropriate, the inflammation caused by hemolytic streptococci and control the recurrence of rheumatic diseases can be prevented from the formation of chronic rheumatic heart valve diseases.
