Question

A 36-year-old presents with streptococcal pharyngitis confirmed by rapid antigen test. Penicillin allergy: immediate anaphylaxis. Which therapy is appropriate?

Accepted Answer

Azithromycin 500 mg day 1 then 250 mg daily x4 days (if local resistance acceptable)

Answer

Penicillin V 500 mg BID x10 days

Answer

Amoxicillin 500 mg BID x10 days

Answer

Cephalexin 500 mg BID x10 days despite anaphylaxis history

Answer

No antibiotics required

Practice question

A 36-year-old presents with streptococcal pharyngitis confirmed by rapid antigen test. Penicillin allergy: immediate anaphylaxis. Which therapy is appropriate?