Scarlet Fever

Scarlet Fever 

Scarlet fever results from the production of a toxin by the betahemolytic streptococcus. The rash involves the mouth and throat, and the skin over the body. Usually the patient manifests sore throat, headache, loss of appetite, and fever for two to five days before the skin rash appears. The latter begins as a patch on the posterior neck, chest, or axillae. It then extends to involve the abdomen, extremities, and face with a pin point type of redness. The involved skin feels and looks like sandpaper, and the rash blanches with pressure. Pallor is present around the eyes and on the end of the nose. The tongue is often coated white with the edges appearing red, as a strawberry. Peeling skin over the hands and feet frequently evolves. Untreated, the condition may last from four to six weeks. Severe complications, such as mastoiditis, sinusitis, arthritis, and even carditis may occur. Specific antistreptococcal therapy is usually indicated in the prevention of these complications. General hydrotherapy treatments and a spare diet during the acute phase are valuable to hasten rapid  convalescence.Once a major cause of death, it is now effectively treated with antibiotics. 

Warm liquids like soup or cold foods like popsicles or milkshakes help to ease the pain of the sore throat. Offer these to your child often, especially when he/she has a fever since the body needs a lot of fluid when it is sick with a fever. A cool mist humidifier will help to keep the air in your child's room moist which will keep the throat from getting too dry and more sore. Your child needs plenty of rest.