1. Rheumatic fever with chronic carditis: still prevalent in Germany

    Dear Sir,

    1953 born I was never treated with antibiotics as child.

    1985 a post-streptococcal-myocarditis was diagnosed in the University -hospital Goettingen. Treatment with penicillin and oral penicillin- prophylaxis. Many episodes of respiratory infections, complicated by arrhythmias.

    2004 atrial fibrillation.

    2017, July 4., anticoagulation with heparin/coumarin changed the intra-articular pressure at once: Less pain in hand and foot. A severe polyneuropathy was caused by unknown agents (Could this be a post- streptococcal-neuritis 2003, in the heat-wave of Southern France, combined with severe Myocarditis.)

    And so many of my patients, seen in 40 years, suffered from recurrent rheumatic fever attacks. Very often penicillin V could change the disease.

    We are all one. Suffering from streptococcal-reactive diseases.

    And penicillin/coumarin still is the best. Cheap and good.

    Best wishes

    Yours Friedrich

    Conflict of Interest:

    None declared

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