How Will My Rheumatic Fever Be Managed?

How Will My Rheumatic Fever Be Managed?

This information is for rangatahi (young people) with rheumatic fever or rheumatic heart disease. It's designed to help you and your whānau navigate the journey ahead after your diagnosis. 

Images from the rheumatic fever and rheumatic heart disease booklet produced by the Rheumatic Fever Project Team, Te Whatu Ora - Counties Manukau in conjunction with RHD Queensland Australia.

Rheumatic fever booklet cover and image of people

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How will my rheumatic fever be managed?

Bicillin injections

To stop the strep germ from getting into the body and to prevent rheumatic fever from happening again, you will need to have an injection of benzathine penicillin, also known as bicillin, every 21 to 28 days. You may hear healthcare professionals call this secondary prophylaxis.

The injection is given into a big muscle in the hip and bottom area. Even though this may hurt a bit, it is important to have it on time. If you are late, it increases your chance of rheumatic fever happening again.

Illustration of a Bicillin injection

How long will I need to have bicillin injections?

Most people need bicillin injections for 10 years after the last rheumatic fever episode or until they are 21 years old (whichever is the longer period). Your health worker, nurse or doctor can tell you more about the treatment. Your rheumatic fever specialist will tell you when it is safe to stop having bicillin injections.

Other parts of the journey

My rheumatic fever and rheumatic heart disease journey introduction

Checklist - going home from hospital after my rheumatic fever

Taking care of my health after a diagnosis of rheumatic fever

What exactly is rheumatic fever?

My rheumatic fever or rheumatic heart disease journey in pictures

What exactly is rheumatic heart disease?

How will my rheumatic fever be managed? (You are here)

What other ways can I look after my health after rheumatic fever?

When can I return to doing the things I enjoy after rheumatic fever?

Will I need regular medical check-ups after rheumatic fever?

Looking after my mouth and gums after rheumatic fever

Wanting to plan to have a baby after rheumatic fever?

Acknowledgements

This information is adapted from the rheumatic fever and rheumatic heart disease booklet produced by the Rheumatic Fever Project Team, Te Whatu Ora - Counties Manukau, 2022.

This page last reviewed 13 October 2023.

Call Healthline on 0800 611 116 any time of the day or night for free health advice when you need it