Untreated Strep A infections during childhood may increase the risk of developing acute rheumatic fever and long-term rheumatic heart disease, according to a pediatric cardiology specialist, highlighting the importance of early diagnosis and appropriate antibiotic treatment.
Strep A infections, commonly responsible for bacterial sore throats in children, can have consequences beyond the initial illness if not properly treated. Pediatric cardiologist Prof. Dr. Yılmaz Yozgat says untreated infections may trigger acute rheumatic fever, which can permanently damage heart valves and lead to rheumatic heart disease later in life.
Story
Untreated Strep A infections in childhood may lead to serious heart complications years after the initial illness, according to Prof. Dr. Yılmaz Yozgat, a pediatric cardiology specialist.
The expert said bacterial throat infections caused by Group A Streptococcus (Strep A) should not be confused with viral sore throats, as untreated cases can trigger acute rheumatic fever, an inflammatory disease that may affect the heart, joints, skin, and nervous system.
Heart valve damage may develop
Prof. Dr. Yozgat noted that the greatest long-term concern is damage to the heart valves. Acute rheumatic fever can cause permanent scarring of the valves, eventually resulting in rheumatic heart disease, which may require lifelong medical follow-up or even surgical intervention.
Although the condition has become less common in many countries, it remains an important cause of acquired heart disease among children and young adults in regions where early diagnosis and treatment are delayed.
Early treatment is essential
Experts emphasize that children with persistent sore throat, fever, swollen lymph nodes, or inflamed tonsils should be medically evaluated to determine whether the infection is caused by Strep A. When confirmed, timely antibiotic treatment can substantially reduce the risk of developing acute rheumatic fever.
Parents are also advised to ensure that prescribed antibiotics are completed as directed rather than discontinued when symptoms improve.
Why It Matters
Recognizing and appropriately treating Strep A infections is essential to preventing acute rheumatic fever and its long-term cardiovascular complications. Early diagnosis, accurate testing, and completion of recommended antibiotic therapy remain among the most effective strategies for protecting children from preventable rheumatic heart disease.
Sources:
Anadolu Agency, World Health Organization
Compiled by: MedTurkiye360com GPT
