A 28-year-old with severe penicillin allergy requires dental extraction and has a history of repaired congenital cyanotic heart disease with residual ...

Question

A 28-year-old with severe penicillin allergy requires dental extraction and has a history of repaired congenital cyanotic heart disease with residual defects. Best IE prophylaxis alternative?

Accepted Answer

Azithromycin 500 mg PO

Answer

Clindamycin 600 mg PO

Answer

Cephalexin 2 g PO

Answer

No prophylaxis

Answer

Vancomycin 1 g IV after procedure

us-abfm MCQ (SBA): Endocarditis Prophylaxis-Allergy

A 28-year-old with severe penicillin allergy requires dental extraction and has a history of repaired congenital cyanotic heart disease with residual defects. Best IE prophylaxis alternative?