A 38-year-old Aboriginal man living in a remote community presents with a sore throat and fever. His younger brother has a history of acute rheumatic ...

Question

A 38-year-old Aboriginal man living in a remote community presents with a sore throat and fever. His younger brother has a history of acute rheumatic fever. Examination reveals enlarged erythematous tonsils with exudate and tender cervical lymphadenopathy. Rapid antigen test for group A streptococcus is positive. According to Australian RHD prevention guidelines, what is the most appropriate antibiotic treatment?

Accepted Answer

Single intramuscular benzathine benzylpenicillin G dose

Answer

No antibiotics; treat symptomatically only

Answer

Oral amoxicillin-clavulanate for 5 days

Answer

Oral phenoxymethylpenicillin for 10 days

Answer

Oral azithromycin 500 mg daily for 3 days for all patients

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