Rare Diseases Symptoms Automatic Extraction
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Failure of secondary prophylaxis with erythromycin in rheumatic heart disease.
[acute rheumatic fever]
Erythromycin
is
recommended
for
secondary
prophylaxis
in
children
with
rheumatic
heart
disease
,
who
are
allergic
to
penicillin
.
A
9
-
year
-old
girl
,
with
rheumatic
heart
disease
,
on
secondary
prophylaxis
with
erythromycin
250
mg
BD
,
presented
with
acute
rheumatic
fever
.
Responded
to
steroids
and
started
on
a
higher
dose
(
250
mg
TDS
)
of
erythromycin
for
secondary
prophylaxis
.
There
is
need
to
document
the
resistance
of
group
A
streptococci
to
erythromycin
.
