A 15-year-old Aboriginal girl from a remote community had a documented episode of acute rheumatic fever at age 11 with carditis and now has mild mitra...

Question

A 15-year-old Aboriginal girl from a remote community had a documented episode of acute rheumatic fever at age 11 with carditis and now has mild mitral regurgitation. She has no penicillin allergy. According to Australian RHD guidelines, what is the most appropriate ongoing secondary prophylaxis?

Accepted Answer

Intramuscular benzathine benzylpenicillin every 4 weeks

Answer

No further prophylaxis is required after 5 years

Answer

Oral penicillin V twice daily until age 16

Answer

Intravenous penicillin courses every 6 months

Answer

A single intramuscular penicillin injection annually

au-amc MCQ (SBA): Rheumatic heart disease secondary prophylaxis

A 15-year-old Aboriginal girl from a remote community had a documented episode of acute rheumatic fever at age 11 with carditis and now has mild mitral regurgitation. She has no penicillin allergy. According to Australian RHD guidelines, what is the most appropriate ongoing secondary prophylaxis?