ffRefer urgently to hospital ffIsolate (contact and droplet precautions) until 3 throat swabs (nose, throat, or skin) are negative ffGive procaine benzylpenicillin 1.2 MIU daily IM until patients can switch to oral Child: procaine benzylpenicillin 50,000 IU/kg per day IM once daily until patient can swallow}<b>When patient is able to swallow</b><br>ffGive Penicillin V 250 mg every 6 hours per day to complete 14 days. Child 1-6 years: 125 mg 6 hourly Child< 1 years: 12.5 mg/kg every 6 hours}<b>In case of penicillin allergy</b><br>ffErythromycin 500 mg every 6 hours for 14 days Child: 50 mg/kg every 6 hours