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HardIndigenous HealthRheumatic heart disease long-term prophylaxisau-amcau-racgpau-racp

A 15-year-old Aboriginal boy from a remote community presents to a rural hospital with exertional dyspnoea and a history of recurrent sore throats. Echocardiogram shows moderate rheumatic mitral regurgitation. He has been lost to follow-up and has not received benzathine benzylpenicillin injections for a year. What is the most appropriate management regarding secondary prophylaxis?

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