Seidel K
Z Gesamte Inn Med. 1977 Jul 15;32(14):347-51.
After making the diagnosis the rheumatic fever as a secondary disease after streptococcal infection is immediately to be treated with penicillin G. Parallel to this or overlapping the rheumatic inflammatory mesenchymal tissue reactions are treated with prednisolone or derivatives, aminophenazone or salicylic acid preparations, in which cases in children prednisolone and aminophenazone are preferred. The combat against the streptococcal infection by means of penicillin transgresses into a recidivation prophylaxis with benzathin-penicillin, which is to be performed up to an age of 5 years. Substitutes for the recidivation treatment with benzathin-penicillin are V-tablopen or erythromycin, perhaps also sulfaclomide. The treatment is to be performed in a hospital up to the time that the patient is free from signs of inflammation and at least 4 weeks without fever, then a gradual rehabilitation begins.
确诊链球菌感染继发风湿热后，应立即用青霉素G进行治疗。与此同时或在此期间，风湿性炎症间充质组织反应可用泼尼松龙或其衍生物、氨基苯乙酮或水杨酸制剂治疗，儿童患者优先选用泼尼松龙和氨基苯乙酮。通过青霉素对抗链球菌感染进而转变为用苄星青霉素进行复发预防，此预防措施需持续至5岁。苄星青霉素复发治疗的替代药物有V - tablopen或红霉素，或许还有磺胺氯哒嗪。患者需在医院接受治疗，直至炎症体征消失且至少4周无发热，之后开始逐步康复。
