Question

A 17-year-old Aboriginal girl from a remote community presents with a sore throat and fever. She has a past history of acute rheumatic fever. Examination reveals tonsillar exudate and tender cervical nodes. What is the most appropriate antibiotic management?

Accepted Answer

Oral phenoxymethylpenicillin for 10 days or single intramuscular benzathine benzylpenicillin

Answer

No antibiotics; provide symptomatic care only

Answer

Oral azithromycin for 3 days in all cases

Answer

Oral amoxycillin-clavulanate for 3 days

Answer

Intravenous ceftriaxone for 1 day only

Practice question

A 17-year-old Aboriginal girl from a remote community presents with a sore throat and fever. She has a past history of acute rheumatic fever. Examination reveals tonsillar exudate and tender cervical nodes. What is the most appropriate antibiotic management?