I have increased ASO and joint pain. What could be the cause?

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• According to your complaints and reports attached (attachment removed to protect patient identity), I suspect a rheumatic heart disease in your case. I would recommend you get evaluated further.
• Increased ASO (antistreptolysin O) with joint pain could be due to a streptococcus infection which is one of the causes of rheumatic heart disease.
• I will suggest some investigations for you. If it is negative, then it could be reactive arthritis secondary to streptococcal infection.
• Investigations to be done:
1. ECG (electrocardiogram).
2. 2D echo (echocardiogram).

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