13th March 2024

You review a 23-year-old male in the ambulatory care clinic who presented initially with a sore throat, fevers, and pain on swallowing.

You review a 23-year-old male in the ambulatory care clinic who presented initially with a sore throat, fevers, and pain on swallowing. You took a throat swab from him a few days ago and have now received the results. The report confirms gram-positive cocci in chains, which are positive for the Lancefield Group A antigen. You review him in the clinic today with the results. He is very anxious on hearing this as his father had a history of rheumatic heart disease and recently died of a stroke as a complication of this. He also mentions that he is allergic to penicillin. What is the best course of therapy in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.