Jones Criteria for Acute Rheumatic Fever (ARF)

Episode Type

Evidence of preceding Group A Streptococcal (GAS) infection

Major manifestations (0 selected)

Carditis (including subclinical evidence of rheumatic valvulitis on echocardiogram)Polyarthritis or aseptic monoarthritis or polyarthralgiaSydenham choreaSubcutaneous nodulesErythema marginatum

Minor manifestations (0 selected)

Fever ≥ 38°C

Monoarthralgia

ESR ≥ 30 mm/h or CRP ≥ 30 mg/L

Prolonged P-R interval on ECG

Remarks

Diagnosis criteria for ARF
Initial ARF	2 major manifestations + evidence of preceding GAS infection, OR 1 major + 2 minor manifestations + evidence of preceding GAS infection
Recurrent ARF	2 major manifestations + evidence of preceding GAS infection, OR 1 major + 2 minor manifestations + evidence of preceding GAS infection, OR 3 minor manifestations + evidence of a preceding GAS infection

Diagnosis criteria for ARF

Initial ARF

2 major manifestations + evidence of preceding GAS infection,

1 major + 2 minor manifestations + evidence of preceding GAS infection

Recurrent ARF

2 major manifestations + evidence of preceding GAS infection,

1 major + 2 minor manifestations + evidence of preceding GAS infection,

3 minor manifestations + evidence of a preceding GAS infection