A disease (typically in childhood) characterized by fever, pharyngitis, and rash caused by group A β-hemolytic Streptococcus pyogenes (GAS) that produces erythrogenic toxin
Incubation...
Sore throat
Headache
Myalgias
Malaise
Fever (>38°C [100.4°F])
Vomiting
Abdominal pain (may mimic acute abdomen)
Rash—scarlatiniform erythematous punctate eruption
Coug...
Poor...
Basetti S, Hodgson J, Rawson TM, et al. Scarlet fever: a guide for general practitioners. London J Prim Care (Abingdon). 2017 Aug 11;9(5):77-79.
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Pharyngitis
Algorithm: Pharyngitis
A38.9 Scarlet fever, uncomplicated
J02.0 Streptococcal pharyngitis
A38.0 Scarlet fever with otitis media
A38.8 Scarlet fever with other complications
30242009 Scarlet fever (disorder)
1863...
Consider scarlet fever in the differential diagnosis of children with fever and an exanthematous rash.
Key clinical findings include strawberry tongue, circumoral pallor, and a coarse s...
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FIG. 11.10. Streptococcal pharyngitis. Streptococcal pharyngitis is characterized by an erythematous posterior pharynx (A), palatal petechiae (B), and a white strawberry tongue (C). Each of these findings suggests streptococcal, not viral, infection. Many cases are not as obvious.
FIG. 11.10. Streptococcal pharyngitis. Streptococcal pharyngitis is characterized by an erythematous posterior pharynx (A), palatal petech...
FIG. 11.55. Pharyngitis in infectious mononucleosis. This girl has inflamed, bilaterally swollen tonsils with a diffuse exudate, as is often seen with infectious mononucleosis.
FIG. 11.55. Pharyngitis in infectious mononucleosis. This girl has inflamed, bilaterally swollen tonsils with a diffuse exudate, as is oft...
<bold>Figure 61-4</bold> Rash seen with scarlet fever. Note the diffuse distribution of this rash that is more intensein the lower abdomen and groin.
<bold>Figure 61-4</bold> Rash seen with scarlet fever. Note the diffuse distribution of this rash that is more intensein the l...
<bold>Figure 61-5</bold> Palmar erythema. Note the intense palmer redness seen in a child with Scarlet fever.
Palatal petechiae strongly suggestive of sterptococcal pharyngitis
Tonsillar exudate. May be present in viral tonsillitis as well as group A strep infection.