Question

A 23-year-old Aboriginal woman living in a remote community has a history of definite acute rheumatic fever at age 12 and moderate rheumatic mitral regurgitation. She is otherwise well. According to current Australian ARF/RHD guidelines, which secondary prophylaxis regimen is most appropriate?

Accepted Answer

Benzathine benzylpenicillin G intramuscularly every 4 weeks until at least age 40

Answer

Oral phenoxymethylpenicillin twice daily for 2 years

Answer

Benzathine benzylpenicillin G intramuscularly once yearly until age 25

Answer

No further prophylaxis is required as she is asymptomatic

Answer

Single dose azithromycin now and repeat if sore throat recurs

Practice question

A 23-year-old Aboriginal woman living in a remote community has a history of definite acute rheumatic fever at age 12 and moderate rheumatic mitral regurgitation. She is otherwise well. According to current Australian ARF/RHD guidelines, which secondary prophylaxis regimen is most appropriate?