In this video Dr O'Donovan explains SCARLET FEVER, including causes, who is affected, symptoms (plus lots of clinical photos), treatment and prognosis (Group A Streptococcal disease (iGAS), or Strep A)
Scarlet fever is a contagious infection that mostly affects young children. It's easily treated with antibiotics.
The first signs of scarlet fever can be flu-like symptoms, including a high temperature, a sore throat and swollen neck glands (a large lump on the side of your neck).
A rash appears 12 to 48 hours later. It looks looks like small, raised bumps and starts on the chest and tummy, then spreads. The rash makes your skin feel rough, like sandpaper.
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IMAGE CREDITS: DERMNET NZ. Lisence: Non Commercial- NoDerivs 3.0 New Zealand (CC BY-NC-ND 3.0 NZ)
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When to see a doctor
Talk to your health care provider if your child has a sore throat with:
- A fever of 100.4 F (38.0 C) or higher
- Swollen or tender glands in the neck
- A red rash
In children and teens, any of the following symptoms need emergency evaluation:
- New shortness of breath at rest
- Trouble breathing (grunting, pulling-in chest muscles between the ribs, nostril flaring)
- Noisy, wheezy or raspy breathing that does not clear with coughing
- Rapid breathing
- Chest pain
- Inability to swallow liquids or saliva, muffled voice, or inability to open mouth fully
- Confusion, lack of energy, or inability to stay alert and awake
- Dizziness when sitting or standing
- Drooling (if age 3 years or older)
- Persistent or severe vomiting or diarrhea
- Dehydration
For infants less than 2 months old, additional symptoms needing emergency evaluation include:
- Inability to be comforted
- Breathing that repeatedly starts and stops
- Temperature less than 96.0 F (35.5 C) or greater than 100.4 F (38 C)
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