Fever in Pediatrics — 10yo Child | Pediatric Cardiology | SMLE Q#11368
SMLE Question #11368
Pediatrics
Pediatric Cardiology
Objective: OBJ-283
Last updated: February 2026
A 10-year-old boy presents with fever, migratory polyarthritis of the large joints, and a new pansystolic murmur at the apex radiating to the axilla. Echocardiography shows mitral regurgitation, and he is diagnosed with acute rheumatic fever with carditis and residual valvular disease. He is treated and planned for secondary prophylaxis with intramuscular benzathine penicillin G. For how long should secondary prophylaxis be continued?
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