Question

A 16 year old Aboriginal boy from a remote Northern Territory community has a history of acute rheumatic fever with carditis at age 10. He is clinically stable. Which ongoing secondary prophylaxis strategy is recommended to prevent recurrent rheumatic fever and progression of rheumatic heart disease?

Accepted Answer

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

Answer

No further prophylaxis is required after 5 years

Answer

Oral phenoxymethylpenicillin twice daily indefinitely

Answer

Annual oral amoxicillin courses during winter

Answer

Prophylaxis can be ceased if he moves to an urban area

Practice question