Scarlet fever or “scarlatina” is a manifestation of infection with Streptococcus pyogenes (group A β-hemolytic Streptococcus) that is characterized by an erythematous “sandpaper” ras...
Sudden onset of fever up to 40.5°C, sore throat, headache, nausea, vomiting, and toxicity are classic symptoms for group A streptococcal disease.
Characteristic rash typically occurs 1...
Treatment for scarlet fever is identical to therapy for streptococcal pharyngitis.
Therapy started up to 9 days after illness onset is effective for preventing acute rheumatic...
Fever and symptoms usually resolve within 24 to 48 hours of antibiotic treatment.
Patients with scarlet fever may experience hyperkeratosis. Peel...
Lamden KH. An outbreak of scarlet fever in a primary school. Arch Dis Child. 2011;96(4):394–397. [View Abstract on OvidInsights]
Park DW, Kim SH, Park JW, et al. Incidence and ...
034.1 Scarlet fever
034.0 Streptococcal sore throat
A38.9 Scarlet fever, uncomplicated
J02.0 Streptococcal pharyngitis
30242009 Scarlet fever (disorder)
186357007 streptococcal sore th...
Q: Is culture confirmation of strep infection necessary to make the diagnosis of scarlet fever?
A: No. Although laboratory evidence of strep infection is supportive, scarlet fever is a clinical dia...
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<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.