A member asked:

I was a patient of acute rheumatic fever. after da treatment docs advis'd 2 take benzibiotic penicillin injection evry month. til when i shud take'em.

2 doctors weighed in across 2 answers

Rheumatic fever: The American heart Association guidelines for antibiotic prophylaxis are: 1. Rheumatic fever without carditis-5 years or until 21 years of age, whichever is longer. 2. Rheumatic fever with carditis but no valve disease-10 years or well into adulthood. 3. Rheumatic fever with carditis and valve disease-10 years or until age 40.

Answered 7/30/2014

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Dr. Jay Park answered

Depends: Duration of antibiotic prophylaxis depends upon whether you had heart involvement when you had acute rheumatic fever. It also depends on the presence of residual heart disease (valvular disease) if you did. Individuals with valvular disease as a complication of rheumatic fever require penicillin prophylaxis for at least 20 years or up to age 40, whichever is longer.

Answered 9/28/2016

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