The author introduces his subject by presenting the evidence for the etiologic role of the hemolytic Streptococcus in the production of the rheumatic state. He then considers the means whereby streptococcal infection can be avoided and the management of streptococcal infection once it has occurred. He emphasizes the early and vigorous treatment of streptococcal infections with penicillin as a means of preventing recurrences in known rheumatic patients. The long term prophylaxis of recurrences of rheumatic fever by the use of sulfonamides and penicillin is discussed.
This excellent little monograph sets forth in clear and concise form the present means at our disposal for the prevention of rheumatic fever.