Case Report

Acute Rheumatic Fever Presenting as Unstable Angina

The most common presentation of acute rheumatic fever in adults is a febrile illness with an additive or migratory polyarthritis that is present on average in 92%; of patients (range, 43–100%), or tenosynovitis usually of the wrists and ankles (67%. 1,2 Carditis, present in 15 to 35% of patients, is…