Hi danmanca.
I'm not sure what diagnostic criteria your PCP is using, however,
from your given symptomology I deducted that 1.your shortness of breath
(with minimal activity) could be linked to some form of heart inflammation
(carditis) which would be one of the major criteria that should be ruled out
and 2. polyarthritis (affecting legs, thighs,back, jaw etc) which would the second criterion to establish this diagnosis.
Common symptoms that are not present, like fever or rashes, are not enough to rule out RF.
The bigger concern would be the shortness of breath and the possibility
of any heart issues linked to that.
Best wishes.
Niko
Hmm I've suggested this to my PCP but he doesn't think that this is the case. CRP tests came back ok and I don't have any fever or rashes as is common.
Hi danmanca.
Sometimes after a strep throat infection, because of antigen cross-reactivity, a systemic disease called Rheumatic Fever may develop, should the medications for the original strep infection do not eradicate it.
You may want to look at the revised Jones criteria for Rheumatic Fever, to
see if they are consistent (2 major criteria or 1 major and 2 minor criteria are needed for a dx) with your present condition and symptoms.
A follow up with your treating physician, I believe is in order, before this progresses further. It is important to get this ruled out, as untreated RF
prognosis is not very good. I don't mean to alarm you, but your health is your greatest asset, so it is better to err on the side of caution.
I hope this helps, however, it is not intended to replace medical advice.
Best wishes
Niko
Go back to the doctor for an EBV test. Just a possibility I'm not a doctor.