A 65-year-old with a history of immediate anaphylactic penicillin allergy and a prosthetic mitral valve is undergoing dental scaling with bleeding exp...

Question

A 65-year-old with a history of immediate anaphylactic penicillin allergy and a prosthetic mitral valve is undergoing dental scaling with bleeding expected. Which prophylaxis is appropriate?

Accepted Answer

Azithromycin 500 mg orally 30-60 min prior

Answer

Clindamycin 600 mg orally 30-60 min prior

Answer

Amoxicillin 2 g orally 30-60 min prior

Answer

No antibiotic needed

Answer

Cephalexin 2 g orally 30-60 min prior

us-usmle-step-2 MCQ (SBA): Infective Endocarditis Prophylaxis-Penicillin Allergy

A 65-year-old with a history of immediate anaphylactic penicillin allergy and a prosthetic mitral valve is undergoing dental scaling with bleeding expected. Which prophylaxis is appropriate?