A 45-year-old man presents with fatigue and exertional dyspnoea. He reports several episodes of sore throat as a child. Echocardiography shows severe ...

Question

A 45-year-old man presents with fatigue and exertional dyspnoea. He reports several episodes of sore throat as a child. Echocardiography shows severe mitral regurgitation due to rheumatic heart disease. Which long-term preventive measure is recommended to reduce the risk of recurrent rheumatic fever?

Accepted Answer

Intramuscular benzathine benzylpenicillin every 4 weeks

Answer

No further prophylaxis is required in adults

Answer

Oral amoxicillin 500 mg daily lifelong

Answer

Daily oral azithromycin

Answer

Annual oral penicillin courses during winter

au-racp MCQ (SBA): Rheumatic heart disease secondary prophylaxis