This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Which of the following is not included in major Jone's criteria aEUR' 
Select and explain. 
A. Pancarditis, B. Chorea, C. Ahritis, D. Elevated ESR
D: Elevated ESR
Answer: D: Elevated ESR 
Explanation: Elevated E.S.R. * The jones criteria for rheumatic fever: Major criteria * CarditisQ . * Migratory polyahrrusQ Minor cieria Clinical * Fever * Sydenham's choreaQ * AhralgiaQ * Subcutaneous nodules Laboratory Erythema marginatumQ * Elevated acute phase reactants * Prolonged PR interval PLUS Suppoing evidence of a recent group A Streptococcal infection (e.g. positive throat culture or rapid antigen detection test; and or elevated or increasing streptococcal antibody test). To fulfill jones criteria either two major criteria or one major and two minor criteria plus evidence of antecedent streptococcal infection is required.