A 9-year-old Aboriginal girl living in a remote community presents with fever, sore throat and enlarged tender cervical lymph nodes. Examination shows...

Question

A 9-year-old Aboriginal girl living in a remote community presents with fever, sore throat and enlarged tender cervical lymph nodes. Examination shows erythematous tonsils with exudate. There is a strong local burden of rheumatic heart disease. What is the most appropriate management to reduce her risk of acute rheumatic fever?

Accepted Answer

Oral phenoxymethylpenicillin for 10 days

Answer

Symptomatic treatment only because most sore throats are viral

Answer

Single dose oral azithromycin 10 mg/kg

Answer

Topical antiseptic throat lozenges only

Answer

Immediate tonsillectomy

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