Join me as I explore a case of fever and migratory inflammatory arthritis, then discuss the case with the double-boarded rheumatologist/infectious disease expert, Cassandra Calabrese, DO. Intro :10 My new book :24 Inside this episode 1:20 Case presentation 1:38 Introducing Dr. Cassandra Calabrese 9:22 The interview 10:40 Was the patient’s presentation typical for rheumatic fever? 10:58 Do most rheumatic fever cases have migratory arthritis? 13:23 How different is this from reactive arthritis? 15:42 What’s the deal with aspirin in this condition? 17:26 What are the skin manifestations? 18:19 Tell us about Sydenham chorea 20:23 What’s the difference between valvulitis and carditis? 22:07 Tell us about heart disease and recurrence 23:13 Can you talk about rheumatic fever recurrence? 24:32 Continuous prophylaxis 25:41 Can you walk us through the ASO (antistreptolysin O) titer? 26:20 How long is this on the differential? 28:38 Summary of our discussion 29:43 Thank you, Dr. Calabrese 32:18 We’d love to hear from you! Send your comments/questions to rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum Cassandra Calabrese, DO, is a rheumatologist in the department of rheumatic and immunologic disease and the department of infectious disease at Cleveland Clinic.