MKSAP: 46-year-old woman is evaluated before a dental cleaning

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 46-year-old woman is evaluated before undergoing a dental cleaning procedure involving deep scaling. She has a history of mitral valve prolapse without regurgitation and also had methicillin-resistant Staphylococcus aureus (MRSA) aortic valve endocarditis 10 years ago treated successfully with antibiotics. The patient notes an allergy to penicillin characterized by hypotension, hives, and wheezing. The remainder of the history is noncontributory. On physical examination, vital signs are normal. Cardiopulmonary examination discloses a late systolic click. The remainder of the examination is normal. Which of the following is the most appropriate prophylactic regimen for this patient before her dental procedure? A: Amoxicillin B: Cephalexin C: Clindamycin D: Vancomycin E: No prophylaxis Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Infectious disease Source Type: blogs