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The toxin ideas of disease provides a clearer explanation of rheumatic heart

Begins with rheumatic fever

Rheumatic fever is “inflammatory disease from the heart, joints, nervous system, and subcutaneous tissue that evolves following a throat infection with group A beta-hemolytic Streptococcus bacteria, (Streptococcus pyogenes) including without treatment scarlet fever or strep throat... Rheumatic fever is especially important due to one's heart disease, including vascular damage, that could ensue” (Encyclopedia Britannica 2009, parenthetical mine).

Rheumatic heart evolves from “inflammation from the endocardium (heart lining), myocardium (heart muscle), and pericardium (the sac that surrounds one's heart) that happens throughout acute rheumatic fever...The condition includes individuals later developments that persist following the acute process has gone away which may lead to harm to a valve....” (Encyclopedia Britannica 2009).
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