Question

A 26-year-old Aboriginal woman from a remote community presents with a sore throat and fever. She has a pansystolic murmur at the apex radiating to the axilla and a history of acute rheumatic fever in childhood. She has missed benzathine benzylpenicillin injections for the last year. According to current Australian RHD guidelines, what is the most appropriate ongoing secondary prophylaxis?

Accepted Answer

Intramuscular benzathine benzylpenicillin every 3-4 weeks until at least age 35 years

Answer

Oral phenoxymethylpenicillin twice daily for life

Answer

Intramuscular benzathine benzylpenicillin every 4 weeks until at least age 21 years

Answer

No further prophylaxis is needed because she is now an adult

Answer

Cease prophylaxis and monitor echocardiography annually only

Practice question