For how many years is rheumatic fever prophylaxis recommended for a 10-year-old boy diagnosed with acute rheumatic fever with cardiac involvement?
Understand the Problem
The question is asking about the recommended duration of rheumatic fever prophylaxis for a 10-year-old child diagnosed with acute rheumatic fever and cardiac involvement. The options provide different durations in years, and the task is to select the correct one.
Answer
A minimum of 10 years, possibly until age 40 or indefinitely.
For a 10-year-old boy diagnosed with acute rheumatic fever with cardiac involvement, rheumatic fever prophylaxis is recommended for a minimum of 10 years, and many experts recommend continuing until age 40 or indefinitely, especially if there is residual heart damage.
Answer for screen readers
For a 10-year-old boy diagnosed with acute rheumatic fever with cardiac involvement, rheumatic fever prophylaxis is recommended for a minimum of 10 years, and many experts recommend continuing until age 40 or indefinitely, especially if there is residual heart damage.
More Information
The duration of rheumatic fever prophylaxis is determined by the presence and severity of carditis (heart inflammation) and any residual heart damage. The goal is to prevent recurrent episodes of acute rheumatic fever, which can cause further heart damage.
Tips
The duration of prophylaxis can vary based on individual circumstances and the specific recommendations of the treating physician. Always follow the advice of a healthcare professional.
Sources
- Rheumatic Fever (Chapter 323) - AAP Publications - publications.aap.org
- Clinical Guidance for Acute Rheumatic Fever | Group A Strep | CDC - cdc.gov
- Pediatric Rheumatic Fever Treatment & Management - emedicine.medscape.com
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