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Persistent lethargy after a sore throat, especially when accompanied by symptoms such as high fever, joint pain, or shortness of breath, may be a sign of rheumatic fever. This inflammatory condition affects the heart and joints and typically appears between one to five weeks after a bacterial throat infection. Symptoms of rheumatic fever include fatigue, joint pain and swelling, rapid heartbeat, and chest pain. It requires immediate medical evaluation, particularly if it occurs alongside other symptoms, to prevent complications related to the heart. Treating the infection with antibiotics and taking early steps can help prevent the progression of the condition.
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