A 15-year-old Aboriginal girl from a remote community presents with a 3-day history of sore throat and fever. She has a past history of acute rheumati...

Question

A 15-year-old Aboriginal girl from a remote community presents with a 3-day history of sore throat and fever. She has a past history of acute rheumatic fever at age 10. Examination shows tonsillar exudate, tender cervical lymphadenopathy and temperature 38.5 °C. You suspect group A streptococcal pharyngitis. According to Australian rheumatic heart disease guidelines, what is the preferred antibiotic treatment today?

Accepted Answer

Single intramuscular dose of benzathine benzylpenicillin

Answer

No antibiotics, symptomatic treatment only

Answer

Oral amoxicillin 500 mg twice daily for 5 days

Answer

Oral phenoxymethylpenicillin 500 mg twice daily for 5 days

Answer

Oral azithromycin 500 mg daily for 3 days

au-amc MCQ (SBA): Streptococcal pharyngitis in high ARF risk