Symptoms of rheumatic fever can vary and may include:
Fever Painful and tender joints, often the knees, ankles, elbows, and wrists Red, hot, or swollen joints Small, painless nodules beneath the skin Chest pain Heart murmur Fatigue Flat or slightly raised, painless rash with a ragged edge (erythema marginatum) Jerky, uncontrollable body movements (Sydenham chorea)