Question

A 19-year-old Aboriginal woman living in a remote community has a history of acute rheumatic fever and established rheumatic mitral regurgitation. She weighs 55 kg and has no penicillin allergy. According to current Australian rheumatic heart disease recommendations, what is the preferred regimen for secondary prophylaxis against recurrent acute rheumatic fever?

Accepted Answer

Benzathine benzylpenicillin 1.2 million units intramuscularly every 4 weeks

Answer

Oral amoxicillin 500 mg twice daily for 5 days each month

Answer

Single-dose oral azithromycin 1 g every 3 months

Answer

Benzathine benzylpenicillin 1.2 million units intramuscularly once per year

Answer

No long-term prophylaxis is required after the first episode of acute rheumatic fever

Practice question