Failure of Secondary Prophylaxis with Erythromycin in Rheumatic Heart Disease.

Yadav, Dinesh Kumar; Anand Puneet, Dinesh Kumar; Bhutia, Eden

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Failure of Secondary Prophylaxis with Erythromycin in Rheumatic Heart Disease.

Yadav, Dinesh Kumar; Anand Puneet, Dinesh Kumar; Bhutia, Eden.

Indian Pediatr ; 2013 November; 50(11): 1058-1059

Artículo en Inglés | IMSEAR | ID: sea-170063

Background:

Erythromycin is recommended for secondary prophylaxis in children with rheumatic heart disease, who are allergic to penicillin. Case Characteristics A 9-year-old girl, with rheumatic heart disease, on secondary prophylaxis with erythromycin 250 mg BD, presented with acute rheumatic fever.

Outcome:

Responded to steroids and started on a higher dose (250 mg TDS) of erythromycin for secondary prophylaxis. Message There is need to document the resistance of group A streptococci to erythromycin.

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Failure of Secondary Prophylaxis with Erythromycin in Rheumatic Heart Disease.

Background:

Outcome: