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In an answer to the 2012 PREP Exam: They say to treat with Penicillin (Erythromycin if pen allergic), Prednisone, and furosemide prn. They do not endorse using ASA — even if the pt has evidence of carditis (which the patient in the question did).
the PBR states to use: PCN and if the pt has evidence of carditis: ASA and Prednisone.
Thoughts???
Obviously PCN is a must so you have to choose that answer if that’s the only one that makes sense, but I’m really surprised they don’t mention aspirin. I just looked it up and I would still choose to treat with aspirin as well.
The choice to use prednisone is less supported.
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