Which symptom is NOT typically seen with rheumatic fever?

Severe hypotension is not typically associated with rheumatic fever. This condition primarily arises as a complication of untreated streptococcal throat infections and is characterized by a range of symptoms due to an autoimmune response. Common manifestations include chorea, which involves involuntary movements, fever, and polyarthritis, marked by joint pain and swelling.

In contrast, severe hypotension is not a classic symptom of rheumatic fever. While inflammation and immune response can lead to various cardiovascular complications, severe hypotension would usually suggest a different underlying issue, such as septic shock or other conditions that significantly compromise hemodynamic stability. Therefore, recognizing that severe hypotension does not fit within the typical symptomatology of rheumatic fever helps to differentiate it from more relevant manifestations of the disease.