LnvlronmenL

Lco mode|
AŦ ½othes|s
eumaLlc earL dlsease ls a compllcaLlon of reumaLlc fever and usually occurs afLer aLLacks of
reumaLlc feverŦ 1e lncldence of reumaLlc earL dlsease as been greaLly reduced by wldespread
use of anLlbloLlcs effecLlve agalnsL Le sLrepLococcal bacLerlum LaL causes reumaLlc feverŦ

Ŧ 9ed|s½os|ng factos

PosLť
ŴreumaLlc fever/ sLrep LroaL
Ŵ Age

AgenLť
Ŵ SLrepLococcus pyogenes

LnvlronmenL

Ŧ Lco mode|


















Agent
ost

Ŧ Ana|s|s
1e agenLŴosLŴenvlronmenL model ls prlmarlly use ln predlcLlng lllness raLer aLan
promoLlng wellnessţ alLoug ldenLlflcaLlon of rlsk facLors LaL resulL from Le lnLeracLlons of
agenLsţ osL and envlronmenL are elpful ln promoLlng and malnLalnlng ealLŦ 8ecause eac of
Le agenLŴosLŴenvlronmenL facLors consLanLly lnLeracLs wlL oLersţ ealL ls an ever canglng
sLaLeŦ PealL ls seen wen all Lree elemenLs are ln balance wlle lllness ls seen wen oneţ Lwo
or all Lree elemenLs are noL ln balanceŦ {lON 7
th
editionţ kotier vo/ume 1)
eumaLlc fever ls an lnflammaLory dlsease LaL occurs followlng a SLrepLococcus
pyogenes lnfecLlonţ suc as sLrep LroaL or scarleL feverŦ 8elleved Lo be caused
by anLlbody crossŴreacLlvlLy LaL can lnvolve Le earLţ [olnLsţ sklnţ and bralnţ
ż1Ž
Le lllness
Lyplcally develops Lwo Lo Lree weeks afLer a sLrepLococcal lnfecLlonŦ AcuLe reumaLlc fever
commonly appears ln clldren beLween Le ages of 6 and 13ţ wlL only 20Ʒ of flrsLŴLlme aLLacks
occurrlng ln adulLsŦ
ż1Ž
1e lllness ls so named because of lLs slmllarlLy ln presenLaLlon
Lo reumaLlsm

LŦ onc|us|on
1erefore we conclude LaL our paLlenL ls sufferlng from a reumaLlc earL dlsease LaL
cause by sLrepLococcus pyogenes due Lo er lsLory of reumaLlc fever durlng er clldood
daysŦ

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