Question

A 13-year-old girl from a remote community presents with fever, migratory arthritis and a new murmur. She fulfils revised Jones criteria for acute rheumatic fever. According to current RHD guidelines, what is the recommended duration of secondary prophylaxis with benzathine benzylpenicillin in a high-risk patient with carditis and residual mild mitral regurgitation?

Accepted Answer

10 years after last episode or until age 35 (whichever is longer)

Answer

5 years after last episode or until age 18 (whichever is longer)

Answer

10 years after last episode or until age 21 (whichever is longer)

Answer

Lifelong

Answer

Prophylaxis is not required once symptoms resolve

Practice question