<s>[INST] my son have rheumatic fever, please help me Q : "he taking Penicillin LA 12,000 from last six months, he is 19 year old , he had a History of Rheumatic fever , and doctors says to take this penidure injection till five years at least. but still the joint pains, throat infections, chest pain and rashes will occur. he is studying engineering. he is not drawn picturs in board. hick neck is pain. What can he do? please give some idea. where we go to check. if any other Dr. available chennai [/INST] HIWell come to HCMAcute Rheumatic fever with the presence of staphylococcus needs anti biotic for three to four weeks with long acting penicillin but this may not prevent reduce the risk of rheumatic heart disease Penicillin actually works in acute condition to reduce the load of organism, bit this is necessary periodic medical examination is advisable, hope this helps. </s>