Revised jones criteria which of these not in diagnosis of acute rheumatic fever.
Revised Jones criteria are newer one i.e published in the year 2015, modified Jones was published in the year 1992 check this link
Revised Jones criteria based on population at risk i.e low risk has bit different criteria compared to the moderate and high-risk groups.
Major criteria: carditis (clinical and/or subclinical), arthritis (polyarthritis), chorea, erythema marginatum, and subcutaneous nodules
Minor criteria: polyarthralgia, fever (≥38.5° F), sedimentation rate ≥60 mm and/or C-reactive protein (CRP) ≥3.0 mg/dl, and prolonged PR interval (unless carditis is a major criterion)
Moderate and high-risk populations
Major criteria: carditis (clinical and/or subclinical), arthritis (monopolyarthritis or polyarthritis, or polyarthralgia), chorea, erythema marginatum, and subcutaneous nodules
Minor criteria: fever (≥38.5° F), sedimentation rate ≥30 mm and/or CRP ≥3.0 mg/dl, and prolonged PR interval (unless carditis is a major criterion)
Note:- Monoarthrities in moderate and high-risk population is also considered as major criteria unlike in low-risk population
Diagnosis in the initial episode
Two major criteria or one major two minor criteria
Diagnosis of subsequent episodes
Because recurrent acute rheumatic fever is common in know case of acute rheumatic fever the criteria have been modified for these set individuals
Two Major criteria or one major and two minor criteria or three minor criteria
for all these documentation of group, A streptococcal infection is mandatory.
Modified Jones criteria of 1992.
Carditis, Migratory polyarthritis, Sydenham's Chorea, Subcutaneous nodules and Erythema marginatum
Fever, Arthralgia, Elevated acute phase reactant, Prolonged PR interval in ECG
Supporting Evidence of recent group A streptococcal infection
A positive throat culture or rapid antigen detection test and/ or elevated or increasing streptococcal antibody test
To fulfill the Jones criteria. Two major or one major and two minor criteria with essential criteria are needed