Cardiology · criteria

Rheumatic Fever (Jones Criteria)

Revised Jones criteria for diagnosing an initial attack of acute rheumatic fever.

Major Criteria

Carditis
Polyarthritis
Erythema marginatum
Subcutaneous nodules
Chorea

Minor Criteria

Clinical features: Arthralgia
Fever
Laboratory features: Elevated acute-phase reactants
Erythrocyte sedimentation rate
C-reactive protein
Prolonged P-R interval

Group A Streptococcal Infection

Positive throat culture or rapid streptococcal antigen test Elevated or increasing streptococcal antibody titer

Diagnosis

Initial attack of rheumatic fever: 2 major criteria, or 1 major plus 2 minor criteria, with evidence of group A streptococcal infection.

Source: From Gewitz MH, Baltimore RS, Tani LY, et al: Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association, Circulation 131(20):1806–1818, 2015.

Related guides

Acute Rheumatic Fever: The Revised Jones Criteria

Clinician reference on acute rheumatic fever in children — the 2015 revised Jones criteria, risk-stratified major and minor features, subclinical carditis, and secondary prophylaxis.

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Reference this at the bedside, offline — get the Doctaverse app.