Failure of secondary prophylaxis with erythromycin in rheumatic heart disease.
نویسندگان
چکیده
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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ورودعنوان ژورنال:
- Indian pediatrics
دوره 50 11 شماره
صفحات -
تاریخ انتشار 2013