All the following are major criteria for diagnosis of rheumatic fever (RF) except

Guidelines for the clinical diagnosis of acute rheumatic fever, originally suggested by T. Duckett Jones have been revised by the American hea association and WHO. The guidelines consist of major, minor and essential criteria. Two major or one major and two minor criteria are required in the presence of essential criteria to diagnose acute rheumatic fever.WHO criteria for diagnosis of rheumatic fever (RF) and rheumatic hea disease (based on the revised Jones criteria) MajorMinorEssentialCarditisPolyahritisChoreaErythema marginatumSubcutaneous nodules Clinical (fever, polyahralgia) Laboratory (elevated erythrocyte sedimentation rate, leukocyte count)Electrocardiogram (prolonged P-R interval) antistreptolysin &;O&; titer (ASO)Positive throat culture Presence of residua of scarlet fever Reference: Essential Paediatrics; O.P. Ghai; Page no: 435