Migratory Polyarthritis in Medicine / Internal Medicine — 13yo Child | Cardiology | SMLE Q#19200
SMLE Question #19200
Medicine / Internal Medicine
Cardiology
Objective: OBJ-ARF-PPX-01
Last updated: April 2026
A 13-year-old boy is seen in clinic 1 year after an episode of acute rheumatic fever that presented with migratory polyarthritis. At the time of diagnosis, echocardiography showed rheumatic carditis with persistent valvular regurgitation. He has been receiving intramuscular benzathine penicillin G every 4 weeks and has tolerated it well. For how long should secondary prophylaxis with penicillin be continued in this patient?
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