A 5-year-old Aboriginal boy from a remote community presents with sore throat, fever and tender cervical lymphadenopathy. There is a known high preval...

Question

A 5-year-old Aboriginal boy from a remote community presents with sore throat, fever and tender cervical lymphadenopathy. There is a known high prevalence of acute rheumatic fever locally. According to ARF prevention guidelines, what is the most appropriate management?

Accepted Answer

Start immediate intramuscular benzathine benzylpenicillin G for presumed group A streptococcal pharyngitis

Answer

Provide symptomatic treatment only and review as needed

Answer

Perform throat swab and wait for results before treating

Answer

Start broad-spectrum oral antibiotics only if symptoms persist beyond 1 week

Answer

Refer to ENT without antibiotics

au-racgp MCQ (SBA): Primary prevention of acute rheumatic fever

A 5-year-old Aboriginal boy from a remote community presents with sore throat, fever and tender cervical lymphadenopathy. There is a known high prevalence of acute rheumatic fever locally. According to ARF prevention guidelines, what is the most appropriate management?