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Health Information For Parents
Scarlet fever (also known as scarlatina) is an illness that can happen in kids who also have strep throat or strep skin infections. The strep bacteria make a toxin (poison) that causes a bright red, bumpy rash.
The rash spreads over most of the body and is what gives scarlet fever its name. It often looks like a bad sunburn with fine bumps that may feel rough like sandpaper, and it can itch. It usually starts to go away after about 6 days, but might peel for several weeks as the skin heals.
If your child has a rash like this, it’s important to call your doctor. Kids with scarlet fever can be treated with antibiotics.
The telltale rash is the main sign of scarlet fever. It usually starts on the neck and face, often leaving a clear area around the mouth. It spreads to the chest and back, then to the rest of the body. In body creases, especially around the underarms, elbows, and groin, the rash forms red streaks.
Other symptoms of scarlet fever include:
Also, the tonsils and back of the throat might be covered with a whitish coating, or look red, swollen, and dotted with whitish or yellowish specks of pus. Early in the infection, the tongue may have a whitish or yellowish coating. A child with scarlet fever also may have chills, body aches, nausea, vomiting, and loss of appetite.
In rare cases, scarlet fever may develop from a streptococcal skin infection like impetigo. In these cases, the child may not get a sore throat.
To confirm whether a child has scarlet fever, doctors usually order a rapid strep test or throat culture (a painless swab of the throat) to check for the strep bacteria.
If a strep infection is confirmed, the doctor will prescribe an antibiotic for a child to take for about 10 days. That usually will cure the infection itself, but it may take a few weeks for the tonsils and swollen glands to return to normal.
Eating can be painful for kids with severe strep throat, so serving soft foods or a liquid diet may be best. Include soothing teas and warm nutritious soups, or cool drinks, popsicles, or slushies. Make sure that your child drinks plenty of fluids. You can give over-the-counter acetaminophen or ibuprofen for fever or throat pain.
If the rash itches, make sure that your child’s fingernails are trimmed short so skin isn’t damaged through scratching. Try an over-the-counter anti-itch medicine to help relieve the itching.
The bacterial infection that causes scarlet fever is contagious. Kids with scarlet fever can spread the bacteria to others through sneezing and coughing. A skin infection caused by strep bacteria, like impetigo, can be passed through contact with the skin.
When a child is sick at home, it’s always safest to keep his or her toothbrush, drinking glasses, and eating utensils separate from those of other family members, and to wash these items well in hot soapy water. Wash your own hands often as you care for a child with a strep infection.
Call the doctor whenever your child suddenly develops a rash, especially if he or she also has a fever, sore throat, or swollen glands. This is especially important if your child has any of the symptoms of strep throat, or if someone in your family or at your child’s daycare or school recently had a strep infection.
Most kids who develop this inflammation of the blood vessels (marked by a raised red and purple rash) make a full recovery and have no long-term problems.
Adenoviruses can infect the lining of the eyes, airways and lungs, intestines, urinary tract, and nervous system. They’re common causes of fever, coughs, sore throats, diarrhea, and pinkeye.
By the looks of the “bulls-eye” marks this rash leaves on the skin, you might think it’s cause for concern. But erythema multiforme clears up on its own within a few weeks.
Has your child broken out in welts? It could be a case of the hives. Learn how to soothe itchy bumps and help your child feel better.
Erythema toxicum is a common rash seen in full-term newborns. No treatment is needed and it goes away on its own.
This harmless rash often forms a telltale “Christmas tree” pattern on the back that makes it easy to identify.
Especially common in kids between the ages of 5 and 15, fifth disease is a viral illness that produces a distinctive red rash on the face, body, arms, and legs.
Is your child having a strep test or a throat culture? Find out how these swab tests are performed.
Washing your hands well and often is the best way to keep from getting sick. Here’s how to teach this all-important habit to your kids.
Fevers happen when the body’s internal “thermostat” raises the body temperature above normal. This is often the body’s way of fighting infections.
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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