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Old 07-03-2011
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Kids Scarlet fever

Scarlet fever:
  • caused by group A streptococcus that produce erythrogenic serotoxins. It has the same mode of transmission and age of distribution as streptococcal pharyngitis. . The illness may follow a strep. Pharyngitis, wound infections, burns, or strep. Skin infetion.
  • It begins acutely after an incubation period of 1 to 7 days.
  • Initial symptoms include fever, chills, toxicity, abdominal pain, and pharyngitis. The rash initially appears on the neck, axillae, and groin within 14-48 hours and then generalizes. The rash has a punctate or finely papular texture which is sometimes readily palpable; hence the “sandpaper-like” description.
  • The pharynx is typically erythematous, swollen, and possibly covered in gray-white exudates.
  • The area around the mouth appears pale in comparison with extremely red cheeks, giving the appearance of “circumoral pallor.”
  • after the first week you have desquamation that begins in the face and progresses down the trunk and to the hands and feet.
  • The tx if penicillin V.
  • If allergicŕ give erythromycin, clindamycin or 1st generation cephalosporins.
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