{"id":31296,"date":"2025-05-21T10:39:42","date_gmt":"2025-05-21T13:39:42","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=31296"},"modified":"2025-05-21T12:12:56","modified_gmt":"2025-05-21T15:12:56","slug":"febre-reumatica","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/","title":{"rendered":"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#O_que_e_a_febre_reumatica\" >O que \u00e9 a febre reum\u00e1tica?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Epidemiologia\" >Epidemiologia<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Patogenese_da_Febre_Reumatica\" >Patog\u00eanese da Febre Reum\u00e1tica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Como_e_o_quadro_clinico_da_Febre_Reumatica\" >Como \u00e9 o quadro cl\u00ednico da Febre Reum\u00e1tica?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Diagnostico_da_Febre_Reumatica\" >Diagn\u00f3stico da Febre Reum\u00e1tica<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Criterios_Diagnosticos\" >Crit\u00e9rios Diagn\u00f3sticos&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#_Artrite_na_Febre_Reumatica_vs_Artrite_Reativa_Pos-Estreptococica\" >\u00a0Artrite na Febre Reum\u00e1tica vs. Artrite Reativa P\u00f3s-Estreptoc\u00f3cica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Como_e_o_tratamento_da_Febre_Reumatica\" >Como \u00e9 o tratamento da Febre Reum\u00e1tica?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#Profilaxia_secundaria\" >Profilaxia secund\u00e1ria<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1024x576.png\" alt=\"\" class=\"wp-image-31300\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-2048x1152.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-747x420.png 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-150x84.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-696x392.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1068x601.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1920x1080.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e-a-febre-reumatica\"><span class=\"ez-toc-section\" id=\"O_que_e_a_febre_reumatica\"><\/span><strong>O que \u00e9 a febre reum\u00e1tica?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A <strong>febre reum\u00e1tica (FR)<\/strong> \u00e9 uma doen\u00e7a inflamat\u00f3ria <strong>sist\u00eamica aguda,<\/strong> que ocorre como sequela da <strong>faringoamigdalite<\/strong> causada pelo Streptococcus beta hemol\u00edtico do grupo A, acometendo <strong>articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele, tecido subcut\u00e2neo e sistema nervoso central<\/strong>. As les\u00f5es s\u00e3o transit\u00f3rias, exceto no <strong>cora\u00e7\u00e3o<\/strong>, onde as sequelas s\u00e3o <strong>irrevers\u00edveis<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"366\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1024x366.png\" alt=\"\" class=\"wp-image-30896\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1024x366.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-300x107.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-768x275.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1536x549.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-2048x732.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1175x420.png 1175w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-150x54.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-696x249.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1068x382.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1920x686.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-epidemiologia\"><span class=\"ez-toc-section\" id=\"Epidemiologia\"><\/span><strong>Epidemiologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A Febre Reum\u00e1tica \u00e9 uma doen\u00e7a <strong>end\u00eamica<\/strong> no Brasil, sendo associada a aglomera\u00e7\u00f5es populacionais de baixo n\u00edvel socioecon\u00f4mico, com maior preval\u00eancia<strong> entre 5 e 15 anos de idade<\/strong>. S\u00e3o considerados fatores de risco para o desenvolvimento da doen\u00e7a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hist\u00f3ria pr\u00e9via de FR (50% de chance de recidiva).<\/li>\n\n\n\n<li>Altos t\u00edtulos de anticorpos contra exoenzimas etreptoc\u00f3cicas (ex: ASLO).\u00a0<\/li>\n\n\n\n<li>Processo infeccioso intenso.<\/li>\n<\/ul>\n\n\n\n<p>A hist\u00f3ria pr\u00e9via tem grande import\u00e2ncia j\u00e1 que 75% dos pacientes <strong>n\u00e3o tratados<\/strong> com profilaxia <strong>secund\u00e1ria<\/strong> v\u00e3o ter recidiva ao longo da vida (mais frequente nos primeiros 5 anos).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-patogenese-da-febre-reumatica\"><span class=\"ez-toc-section\" id=\"Patogenese_da_Febre_Reumatica\"><\/span><strong>Patog\u00eanese da Febre Reum\u00e1tica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A via far\u00edngea de infec\u00e7\u00e3o \u00e9 necess\u00e1ria para o <strong>desenvolvimento da FR,<\/strong> que \u00e9 uma rea\u00e7\u00e3o autoimune que desencadeia <strong>inflama\u00e7\u00e3o n\u00e3o supurativa<\/strong> em alguns tecidos. Isso ocorre pois existe <strong>semelhan\u00e7a qu\u00edmica e estrutural<\/strong> entre os componentes do SBHA e dos tecidos humanos, em especial <strong>o card\u00edaco<\/strong>, fazendo com que os anticorpos voltados aos estreptoc\u00f3cicos ajam nesses tecidos por <strong>rea\u00e7\u00e3o cruzada<\/strong>. Chamamos isso de <strong>mimetismo molecular.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-e-o-quadro-clinico-da-febre-reumatica\"><span class=\"ez-toc-section\" id=\"Como_e_o_quadro_clinico_da_Febre_Reumatica\"><\/span><strong>Como \u00e9 o quadro cl\u00ednico da Febre Reum\u00e1tica?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O <strong>per\u00edodo de lat\u00eancia<\/strong> at\u00e9 o desenvolvimento da FR dura, em m\u00e9dia, 2 a 4 semanas. Devemos suspeitar de FR em todo paciente entre 5 e 15 anos de idade com febre, sintomas constitucionais e poliartrite migrat\u00f3ria.<\/p>\n\n\n\n<p>A aus\u00eancia de hist\u00f3ria de faringoamigdalite recente n\u00e3o \u00e9 suficiente para descartar diagn\u00f3stico de FR. Entretanto, <strong>1\/3 dos pacientes podem n\u00e3o ter esse hist\u00f3rico.<\/strong><\/p>\n\n\n\n<p>Vamos relembrar os sintomas comuns na FR e que podem ser usados para auxiliar no diagn\u00f3stico.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>ARTRITE<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Presente em at\u00e9 80% dos casos.<\/li>\n\n\n\n<li>Poliarticular, assim\u00e9trica e migrat\u00f3ria.<\/li>\n\n\n\n<li>Dura at\u00e9 5 dias em cada articula\u00e7\u00e3o e, mesmo sem tratamento, melhora com 2 a 4 semanas.<\/li>\n\n\n\n<li>Edema, rubor, calor e dor desproporcional aos achados do exame f\u00edsico.<\/li>\n\n\n\n<li>Prefer\u00eancia por grandes articula\u00e7\u00f5es de extremidades (tornozelos, joelhos, punhos e cotovelos).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXfAyNzBRkSk4G0oG8vyQikhvG-wTiuqALuO4AVFK0hAZeW0dh2DIZeWbZMM7kcbT8WeKbH3ykJ6XcGmSxvjd7veoh7CfMcQl0Zn775QwZBrriuiFn27Wt4zTIOUsogdWs872zB6pg?key=dPf2o-UAyPl2Xl3QDxsoPA\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Artrite reumatoide. Fonte: Sociedade brasileira de Medicina Tropical. <a href=\"https:\/\/sbmt.org.br\/artigo-demonstra-similaridades-entre-artrite-reumatoide-e-artrite-cronica-chikungunya\/\">https:\/\/sbmt.org.br\/artigo-demonstra-similaridades-entre-artrite-reumatoide-e-artrite-cronica-chikungunya\/<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<p>\u00c9 v\u00e1lido lembrar que pacientes com artrite <strong>muito intensa<\/strong> apresentam <strong>menor<\/strong> chance de desenvolver <strong>cardite grave<\/strong>.<\/p>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>CARDITE<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Presente em at\u00e9 60% dos casos.<\/li>\n\n\n\n<li>Inicialmente branda e at\u00e9 subcl\u00ednica.<\/li>\n\n\n\n<li>Taquicardia e valvulite.<\/li>\n\n\n\n<li>Altera\u00e7\u00f5es no ECG:<\/li>\n\n\n\n<li>Alargamento de PR.<\/li>\n\n\n\n<li>BAV de 1\u00ba grau.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXeBp2MuJL1_QtojOXT37wU6jGO3oe8KdeY2d5JZR655wqGmp8xjxMNIjZ3dqj7jtSx8ubjVOmYjuzQdcmj6sOkV-KR1gU2e0FpC_j7jlzEhSl_UT8hXCMB383m4ZcThRe3Qoo5S7A?key=dPf2o-UAyPl2Xl3QDxsoPA\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Bloqueio atrioventricular 1\u00b0 grau. Fonte: <a href=\"https:\/\/pin.it\/7M29E8Evh\">https:\/\/pin.it\/7M29E8Evh<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<p>O histopatol\u00f3gico, nesse caso,&nbsp; pode mostrar les\u00e3o patognom\u00f4nica <strong>=n\u00f3dulo de Aschoff.<\/strong><\/p>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>ERITEMA MARGINADO<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Raro \u2014 presente em cerca de 1% dos casos.<\/li>\n\n\n\n<li>Rash eritematoso maculopapular.<\/li>\n\n\n\n<li>Aus\u00eancia de dor ou prurido.<\/li>\n\n\n\n<li>Acomete troncos e regi\u00f5es proximais, poupando face.<\/li>\n\n\n\n<li>Pode ser breve, durando minutos a horas, ou at\u00e9 semanas\/meses, podendo durar at\u00e9 depois do fim da atividade reum\u00e1tica.<\/li>\n\n\n\n<li>N\u00e3o costuma deixar cicatrizes.<\/li>\n\n\n\n<li>Responde bem a anti-inflamat\u00f3rios.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcjVplzhB1P_iT54DnNNJ0svxX5ki6e_Sog56EYZwRXaCtRCZ7DqBDhgKTFeOcfBhI_1-mvyFn3_EUbesxWTP8Nj7oJAYGxCi-z_Gp96lIT9j9mNdGZcOXkDYNP4sxI9V5KMPiw?key=dPf2o-UAyPl2Xl3QDxsoPA\" alt=\"\"\/><figcaption class=\"wp-element-caption\">(Fonte: Google imagens).<\/figcaption><\/figure>\n\n\n\n<p>Esse achado n\u00e3o \u00e9 patognom\u00f4nico de FR, podendo ser encontrado em casos de sepse, farmacodermias e outros.<\/p>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong>N\u00d3DULOS SUBCUT\u00c2NEOS<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Raro \u2014 presente em &lt; 1% dos casos.<\/li>\n\n\n\n<li>N\u00f3dulos firmes, indolores, de at\u00e9 2cm, solit\u00e1rios ou numerosos.<\/li>\n\n\n\n<li>Sem sinais flog\u00edsticos.<\/li>\n\n\n\n<li>Comum em superf\u00edcies extensoras, sobre tend\u00f5es ou proemin\u00eancias \u00f3sseas.<\/li>\n\n\n\n<li>Podem persistir por at\u00e9 1 m\u00eas.<\/li>\n<\/ul>\n\n\n\n<p>Esse sintoma \u00e9 geralmente associado \u00e0 cardite = sinal de gravidade.<\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>COREIA DE SYDENHAM<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ocorre em at\u00e9 20% dos casos e cerca de 1 a 6 meses ap\u00f3s a FR aguda.<\/li>\n\n\n\n<li>Causada pela liga\u00e7\u00e3o de autoanticorpos aos neur\u00f4nios dos g\u00e2nglios da base.<\/li>\n\n\n\n<li>Dist\u00farbio motor involunt\u00e1rio (extrapiramidal). Costuma come\u00e7ar em m\u00e3os, evoluir para p\u00e9s e, posteriormente, face.<\/li>\n\n\n\n<li>Pode estar associada \u00e0 disartria e movimentos involunt\u00e1rios da l\u00edngua.<\/li>\n\n\n\n<li>Sintomas desaparecem em repouso, sono ou seda\u00e7\u00e3o.<\/li>\n\n\n\n<li>Autolimitada \u2014 dura at\u00e9 4 meses de quadro ativo ou 2 anos de quadro flutuante.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-da-febre-reumatica\"><span class=\"ez-toc-section\" id=\"Diagnostico_da_Febre_Reumatica\"><\/span><strong>Diagn\u00f3stico da Febre Reum\u00e1tica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-criterios-diagnosticos-nbsp\"><span class=\"ez-toc-section\" id=\"Criterios_Diagnosticos\"><\/span><strong>Crit\u00e9rios Diagn\u00f3sticos&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Nomeados de crit\u00e9rios de Jones, estes s\u00e3o divididos em maiores ou menores conforme&nbsp; especificidade com a doen\u00e7a. Eles somente s\u00e3o avaliados e condi\u00e7\u00e3o de evid\u00eancia de infec\u00e7\u00e3o recente por estreptococo.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Maiores Crit\u00e9rios<\/strong><\/td><td><strong>Menores Crit\u00e9rios&nbsp;<\/strong><\/td><\/tr><tr><td>Artrites \u2013 Poliartrite migrat\u00f3ria*<\/td><td>Artralgia (em popula\u00e7\u00f5es de moderado ou alto risco)<\/td><\/tr><tr><td>Cardite e Pancardite (maior morbidade)<\/td><td>Febre \u2265 38.5 \u00b0C&nbsp;<\/td><\/tr><tr><td>Valvulite (insufici\u00eancia mitral ou estenose mitral)<\/td><td>Aumento dos n\u00edveis de PCR\/VHS&nbsp;<\/td><\/tr><tr><td>Cor\u00e9ia de Sydenham (estabelece diagn\u00f3stico separadamente)<\/td><td>Aumento do intervalo PR<\/td><\/tr><tr><td>Eritema marginado&nbsp;<\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>*principal manifesta\u00e7\u00e3o, al\u00e9m de motivar outros sintomas maiores.&nbsp;<\/p>\n\n\n\n<p>Para estabelecer o diagn\u00f3stico, devemos identificar pelo menos:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>2 crit\u00e9rios maiores.<\/li>\n\n\n\n<li>1 crit\u00e9rio maior + 2 crit\u00e9rios menores (com evid\u00eancia do estreptococos).<\/li>\n<\/ul>\n\n\n\n<p>**LEMBRE-SE:** Coreia ou cardite indolente (visualizada por ECOTT) sozinhos s\u00e3o suficientes para diagn\u00f3stico!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-artrite-na-febre-reumatica-vs-artrite-reativa-pos-estreptococica\"><span class=\"ez-toc-section\" id=\"_Artrite_na_Febre_Reumatica_vs_Artrite_Reativa_Pos-Estreptococica\"><\/span><strong>\u00a0Artrite na Febre Reum\u00e1tica vs. Artrite Reativa P\u00f3s-Estreptoc\u00f3cica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>ARTRITE NA FEBRE REUM\u00c1TICA<\/td><td>ARTRITE REATIVA P\u00d3S-ESTREPTOC\u00d3CICA<\/td><\/tr><tr><td>Causada pelo SBHA<\/td><td>Causada por qualquer estreptococo<\/td><\/tr><tr><td>Rea\u00e7\u00e3o autoimune multissist\u00eamica<\/td><td>Rea\u00e7\u00e3o restrita ao sistema articular<\/td><\/tr><tr><td>Poliarticular<\/td><td>Poliarticular<\/td><\/tr><tr><td>Assim\u00e9trica e migrat\u00f3ria<\/td><td>Sim\u00e9trica<\/td><\/tr><tr><td>Grandes articula\u00e7\u00f5es perif\u00e9ricas<\/td><td>Pequenas articula\u00e7\u00f5es perif\u00e9ricas<\/td><\/tr><tr><td>Boa resposta aos salicilatos<\/td><td>Pouca resposta aos salicilatos<\/td><\/tr><tr><td>Dor desproporcional ao exame f\u00edsico<\/td><td>Dor dentro do esperado<\/td><\/tr><tr><td>Pode estar associada a cardite<\/td><td>Aus\u00eancia de cardite<\/td><\/tr><tr><td>Acomete principalmente crian\u00e7as e adolescentes (5-15 anos)<\/td><td>Pode acometer qualquer faixa et\u00e1ria<\/td><\/tr><tr><td>Presen\u00e7a de outros sinais da FR (n\u00f3dulos subcut\u00e2neos, eritema marginado, coreia de Sydenham)<\/td><td>Geralmente sem outras manifesta\u00e7\u00f5es sist\u00eamicas<\/td><\/tr><tr><td>Hist\u00f3ria pr\u00e9via de infec\u00e7\u00e3o far\u00edngea por SBHA<\/td><td>Pode seguir infec\u00e7\u00f5es de outras localiza\u00e7\u00f5es (pele, por exemplo)&nbsp;<\/td><\/tr><tr><td>Per\u00edodo de lat\u00eancia de 2 a 4 semanas ap\u00f3s infec\u00e7\u00e3o<\/td><td>Per\u00edodo de lat\u00eancia pode variar, mas geralmente \u00e9 mais curto<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-e-o-tratamento-da-febre-reumatica\"><span class=\"ez-toc-section\" id=\"Como_e_o_tratamento_da_Febre_Reumatica\"><\/span><strong>Como \u00e9 o tratamento da Febre Reum\u00e1tica?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O tratamento da FR consiste em <strong>controle da inflama\u00e7\u00e3o + erradica\u00e7\u00e3o do S. pyogenes da orofaringe*<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ERRADICA\u00c7\u00c3O DO ESTREPTOCOCO<\/strong><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Objetivo: impedir a transmiss\u00e3o e evitar recidivas.<\/li>\n\n\n\n<li>Realizar em todos os pacientes sintom\u00e1ticos \u2014 n\u00e3o \u00e9 necess\u00e1rio aguardar a cultura.<\/li>\n\n\n\n<li>Devemos iniciar o tratamento em at\u00e9 9 dias do in\u00edcio dos sintomas.<\/li>\n\n\n\n<li>N\u00e3o muda o curso da doen\u00e7a aguda, nem diminui o risco de endocardite.<\/li>\n\n\n\n<li><strong>Penicilina G benzatina IM dose \u00fanica (<\/strong>> 20kg: 1.200.000 UI e \u2264 20kg: 600.000 UI)\u00a0<\/li>\n<\/ul>\n\n\n\n<p>&#8211; Outras op\u00e7\u00f5es:<\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&#8211; Amoxicilina 30-50mg\/kd\/dia VO 8\/8h ou 12\/12h por 10 dias.<\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&#8211; Adulto \u2014 500mg 8\/8h por 10 dias.<\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&#8211; Ampicilina 100mg\/kg\/dia VO 8\/8h por 10 dias.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>TRATAMENTO DOS SINTOMAS<\/strong><\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>ARTRITE\u00a0<\/strong><\/li>\n<\/ol>\n\n\n\n<p>AAS 100mg\/kg\/dia \u2014 se melhora, reduzir para 60mg\/kg\/dia ap\u00f3s 2 semanas e manter por 4 semanas <strong>OU<\/strong> naproxeno 10-20mg\/kg\/dia 12\/12h.&nbsp;<\/p>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>CARDITE MODERADA\/GRAVE\u00a0<\/strong><\/li>\n<\/ol>\n\n\n\n<p>Prednisona 1-2mg\/kg\/dia VO (m\u00e1x 90mg\/d) por 2-3 semanas (redu\u00e7\u00e3o de 5mg\/semana com tempo total \u2014 12 semanas).<\/p>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>COREIA | LEVE\/MOD:<\/strong> Repouso<\/li>\n<\/ol>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong>COREIA GRAVE\u00a0<\/strong><\/li>\n<\/ol>\n\n\n\n<p>\u00a0haloperidol 1mg\/dia 12\/12h (aumentar 0,5mg a cada 3 dias at\u00e9 o m\u00e1x de 5mg\/dia <strong>ou<\/strong> resposta adequada por 3 meses).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-profilaxia-secundaria\"><span class=\"ez-toc-section\" id=\"Profilaxia_secundaria\"><\/span><strong>Profilaxia secund\u00e1ria<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Ela \u00e9 iniciada imediatamente ap\u00f3s o fim da profilaxia prim\u00e1ria, durando 5 anos devido ao maior risco de recorr\u00eancia nesse per\u00edodo. Podemos usar:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Penicilina G benzatina IM a cada 21 dias.<\/li>\n\n\n\n<li>> 20kg: 1.200.000 UI<\/li>\n\n\n\n<li>\u2264 20kg: 600.000 UI<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;Deve ser aplicada em em condi\u00e7\u00f5es sem cardite e em pacientes at\u00e9 21 anos OU at\u00e9 5 anos ap\u00f3s o \u00faltimo surto; cardite sem les\u00e3o residual ou IM leve em at\u00e9 25 anos OU at\u00e9 10 anos ap\u00f3s o \u00faltimo surto; cardite com les\u00e3o residual moderada\/grave at\u00e9 os 40 anos OU por toda a vida; p\u00f3s cirurgia valvar por toda a vida.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCoffer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 10 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"yfQGsnaJlcw\"><iframe loading=\"lazy\" title=\"COFEXPRESS - Pediatria: Reumatologia (Kawasaki + PHS + Febre reum\u00e1tica). Com Dra. Laura Coimbra\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/yfQGsnaJlcw?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!<\/p>\n","protected":false},"author":21,"featured_media":31300,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[246,2921,2225,1124],"ppma_author":[3617],"class_list":{"0":"post-31296","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-clinica-medica","8":"tag-febre","9":"tag-febre-reumatica","10":"tag-nodulos-subcutaneos","11":"tag-profilaxia"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica\" \/>\n<meta property=\"og:description\" content=\"A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-05-21T13:39:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-21T15:12:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1024x576.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Kiara Adelino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kiara Adelino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/\"},\"author\":{\"name\":\"Kiara Adelino\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\"},\"headline\":\"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica\",\"datePublished\":\"2025-05-21T13:39:42+00:00\",\"dateModified\":\"2025-05-21T15:12:56+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/\"},\"wordCount\":1408,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/11\\\/Blog-MedCof-19.png\",\"keywords\":[\"Febre\",\"Febre Reum\u00e1tica\",\"N\u00f3dulos Subcut\u00e2neos\",\"profilaxia\"],\"articleSection\":[\"Cl\u00ednica M\u00e9dica\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/\",\"name\":\"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica - Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/11\\\/Blog-MedCof-19.png\",\"datePublished\":\"2025-05-21T13:39:42+00:00\",\"dateModified\":\"2025-05-21T15:12:56+00:00\",\"description\":\"A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/11\\\/Blog-MedCof-19.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/11\\\/Blog-MedCof-19.png\",\"width\":2560,\"height\":1440},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/febre-reumatica\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"name\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"description\":\"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"alternateName\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\",\"name\":\"Grupo MedCof\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"width\":768,\"height\":269,\"caption\":\"Grupo MedCof\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/MedCofQbank\\\/\",\"https:\\\/\\\/www.instagram.com\\\/grupomedcof\\\/\",\"https:\\\/\\\/br.linkedin.com\\\/company\\\/medcof\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCdHMuOHKICxcHwecxN8P-AA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\",\"name\":\"Kiara Adelino\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpega85663bdda67261f8f06f86e555e1e49\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpeg\",\"caption\":\"Kiara Adelino\"},\"description\":\"Estudante do 5\u00b0 semestre de Medicina. Gosto bastante de aprender coisas novas, principalmente na \u00e1rea de Neurologia e Anatomia humana.\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/author\\\/kiara-adelino\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica - Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/","og_locale":"pt_BR","og_type":"article","og_title":"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica","og_description":"A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!","og_url":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/","og_site_name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","article_publisher":"https:\/\/www.facebook.com\/MedCofQbank\/","article_published_time":"2025-05-21T13:39:42+00:00","article_modified_time":"2025-05-21T15:12:56+00:00","og_image":[{"width":1024,"height":576,"url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19-1024x576.png","type":"image\/png"}],"author":"Kiara Adelino","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Kiara Adelino","Est. tempo de leitura":"8 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#article","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/"},"author":{"name":"Kiara Adelino","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/db19a651f86c5fc202d6eee744fd3292"},"headline":"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica","datePublished":"2025-05-21T13:39:42+00:00","dateModified":"2025-05-21T15:12:56+00:00","mainEntityOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/"},"wordCount":1408,"commentCount":0,"publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19.png","keywords":["Febre","Febre Reum\u00e1tica","N\u00f3dulos Subcut\u00e2neos","profilaxia"],"articleSection":["Cl\u00ednica M\u00e9dica"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/","name":"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica - Blog de Medcof: conte\u00fados, editais, revalida e mais!","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#primaryimage"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19.png","datePublished":"2025-05-21T13:39:42+00:00","dateModified":"2025-05-21T15:12:56+00:00","description":"A febre reum\u00e1tica \u00e9 uma doen\u00e7a inflamat\u00f3ria que age envolvendo as articula\u00e7\u00f5es, cora\u00e7\u00e3o, pele e sistema nervoso. Saiba como diagnosticar!","breadcrumb":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#primaryimage","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Blog-MedCof-19.png","width":2560,"height":1440},{"@type":"BreadcrumbList","@id":"https:\/\/www.grupomedcof.com.br\/blog\/febre-reumatica\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.grupomedcof.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Tudo que voc\u00ea precisa saber sobre\u00a0Febre Reum\u00e1tica"}]},{"@type":"WebSite","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website","url":"https:\/\/www.grupomedcof.com.br\/blog\/","name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!","publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"alternateName":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.grupomedcof.com.br\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization","name":"Grupo MedCof","url":"https:\/\/www.grupomedcof.com.br\/blog\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","width":768,"height":269,"caption":"Grupo MedCof"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/MedCofQbank\/","https:\/\/www.instagram.com\/grupomedcof\/","https:\/\/br.linkedin.com\/company\/medcof","https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA"]},{"@type":"Person","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/db19a651f86c5fc202d6eee744fd3292","name":"Kiara Adelino","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpega85663bdda67261f8f06f86e555e1e49","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","caption":"Kiara Adelino"},"description":"Estudante do 5\u00b0 semestre de Medicina. Gosto bastante de aprender coisas novas, principalmente na \u00e1rea de Neurologia e Anatomia humana.","url":"https:\/\/www.grupomedcof.com.br\/blog\/author\/kiara-adelino\/"}]}},"authors":[{"term_id":3617,"user_id":21,"is_guest":0,"slug":"kiara-adelino","display_name":"Kiara Adelino","avatar_url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/31296","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/comments?post=31296"}],"version-history":[{"count":2,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/31296\/revisions"}],"predecessor-version":[{"id":35892,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/31296\/revisions\/35892"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media\/31300"}],"wp:attachment":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media?parent=31296"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/categories?post=31296"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/tags?post=31296"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/ppma_author?post=31296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}