Scarlet fever & heart damage
( 1999 )
I have heard information that scarlatina is related to calcified heart valves/heart problems later on in life. Is there any basis for this claim?
Scarlatina is another term for scarlet fever. It’s a disease caused by a strain of the bacterium Streptococcus that produces a toxin (erythrogenic toxin) which causes a red, sandpapery rash on the skin. Most streptococcal (strep) infections, such as the common strep throat or cellulitis, aren’t associated with a rash.
Many strains of strep, including those that don’t produce a rash, are able to produce an immune reaction in the body, particularly in younger people. This reaction can lead to such diseases as nephritis (kidney inflammation) and rheumatic fever. Rheumatic fever may affect not only the joints, skin and brain, but also heart valves. Damage to one or more heart valves may lead to the deposit of calcium in the valve leaflets that can restrict their movement and impair heart function. So there is a basis for the claim of problems later in life.
(Click to enlarge graphic of calcified heart valve)
Fortunately, the discovery and development of antibiotics such as penicillin, which can quickly cure strep infections, has led to a marked decrease in the occurrence of acute rheumatic fever and its complications. This is the main reason to check for possible strep infection when you have an acute sore throat. Prompt recognition and appropriate treatment of strep can prevent immune-related complications.