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When the patient of rheumatic Heart disease comes to you with rheumatic fever. You try to convince him about monthly injection of benzathine penicillin. He takes it for few months and then usually stop the same. Quacks tell him that there is no need to take such a dangerous injection. After few months, the child come back with the rheumatic fever. Then he usually fallow the course over the years and none of the about hundred patients, got any cardiac problem. You can hear the faint murmur on careful auscultation.

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Q: What happens when a rheumatic heart disease patient does not take his treatment?
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