A 29-year-old woman with a history of rheumatic heart disease and prosthetic aortic valve presents to her physician for consultation. She is referred by her dentist for prophylaxis before she undergoes an oral surgery next month. She has no history of bacterial endocarditis. She is allergic to penicillin.
Which of the following is the prophylactic drug of choice for this patient?
A- Ampicillin
B- Amoxicillin
C- Azithromycin
D- Gentamicin
E- Vancomycin
Answer
Penicillin is usually the drug of choice for prophylaxis in dental cases. In this case, the patient is allergic to penicillin, azithromycin or clarithromycin should be used instead of penicillin.
The correct answer is C
Thank you
Amoxicillin as prophylaxis