【用戶】Chris
【年級】高三下
【評論內容】MCC mitral stenosis – rheumatic fever (acute). Rheumatic fever -vegetations; due to group A beta hemolytic streptococcal infection. Usually occurs as post-pharyngitis. As opposed to post streptococcal glomerulonephritis, this can be pharyngitis or a skin infection. Most of time rheumatic fever is from a previous tonsillitis. When you culture blood in pts with rheumatic fever, it will be negative. Will not be able to grow the organisms b/c its not an infective endocarditis. It is an immunologic mechanism. With strep, M protein is the pathogenic factor for group A strep. Cer...