One of the following is not included in the major criteria for rheumatic hea disease?

Guidelines of diagnosis used by the American Hea Association include major and minor criteria (ie, modified Jones criteria). In addition to evidence of a previous streptococcal infection, the diagnosis requires 2 major Jones criteria or 1 major plus 2 minor Jones criteria. Major criteria are as follows: Carditis, Migratory polyahritis, Subcutaneous nodules (ie, Aschoff bodies), Erythema marginatum, Chorea (also known as Sydenham chorea and "St Vitus dance"). Minor criteria are as follows: Clinical findings include ahralgia, fever, and previous history of ARF. Laboratory findings include elevated acute-phase reactants (eg, erythrocyte sedimentation rate, C reactive protein), a prolonged PR interval, and suppoing evidence of antecedent group A streptococcal infections (ie, positive throat culture or rapid streptococcal screen and an elevated or rising streptococcal antibody titer).