Clinical Carditis in Pediatrics — 13yo Child | Pediatric Cardiology | SMLE Q#18308

SMLE Question #18308

Pediatrics Pediatric Cardiology

Objective: OBJ-ARF-PPX-001

Last updated: February 2026
A 13-year-old boy had acute rheumatic fever 2 years ago after untreated pharyngitis, with clinical carditis. He has been receiving intramuscular benzathine penicillin G every 4 weeks. A follow-up echocardiogram shows no residual valvular disease. For how long should secondary prophylaxis be continued?

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