Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient –
Erythromycin
Clindamycin
Vancomycin
Gentamycin
T/T of Rhernatic fever
Drug of choice --> Penicillin
Drug of choice in penicillin allergic patients -4 Erythromycin
Drug of choice for prophylaxis in Rheumatic fever -4 enzathine penicillin
Primary prevention            -       Benzathine penicillin administared before the 9th day of streptococcal pharyngitis
Secondary prevention       -       Benzathine penicillin is administered of patients who have had an episode of Rheumatic fever this prevents further attacks

In penicillin allergic patients erythromycin is administered.