A 24-year-old Aboriginal woman from a remote Northern Territory community presents with a 2-day history of sore throat, fever and tender cervical lymp...

Question

A 24-year-old Aboriginal woman from a remote Northern Territory community presents with a 2-day history of sore throat, fever and tender cervical lymph nodes. Her 8-year-old brother recently had acute rheumatic fever. She has no known heart disease. According to national guidance, what is the most appropriate antibiotic strategy?

Accepted Answer

Phenoxymethylpenicillin for 10 days

Answer

No antibiotics; symptomatic treatment only

Answer

Five days of azithromycin

Answer

Amoxicillin-clavulanate for 5 days

Answer

Single dose oral cefalexin then review

au-amc MCQ (SBA): Acute rheumatic fever prophylaxis