Scarlet fever, also known as scarlatina, is a contagious bacterial infection caused by the streptococcus bacteria. It is commonly associated with a red rash and a sore throat, though it can present with a range of other symptoms. The condition has been known since the Middle Ages and is most common in children under 10 years of age. Scarlet fever can be successfully treated with antibiotics, and is generally not serious if managed appropriately.
The main symptom of scarlet fever is a bright red rash which
appears on the body and face. It typically starts on the chest and stomach,
then spreads over the whole body. The rash is usually made up of small pink
spots, which may merge into larger areas. It can feel rough like sandpaper, and
may be accompanied by fever, sore throat, chills and vomiting. Swollen lymph
nodes are also common. The rash typically fades after a few days, but may be
replaced by red patches with a yellowish centre.
A key symptom of scarlet fever is a sore throat. This is
caused by the same bacteria responsible for the rash, and is usually severe and
lasts several days. It is characterised by a feeling of dryness or burning at
the back of the throat, red and swollen tonsils, difficulty swallowing and bad
breath. It may also be accompanied by fever, swollen glands in the neck,
hoarseness and coughing.
In addition to the rash and sore throat, scarlet fever may
cause other symptoms such as chills, fever, headache, nausea and vomiting. Other
common symptoms include white coating on the tongue, aching joints, swollen
glands in the neck and a general feeling of weakness. In some cases, a
‘strawberry tongue’ may be seen. This is a red and bumpy tongue which can be
seen in the first few days of the infection.
The cause of scarlet fever is the bacteria streptococcus
pyogenes. It is most often transmitted through the air, when an infected person
coughs or sneezes. It can also be spread through contact with an infected
person’s saliva, nasal secretions or faeces. It is most contagious during the
early stages of the infection, before the rash appears.
Scarlet fever can be treated with antibiotics. These can
reduce the duration and severity of the illness and prevent the spread of the
bacteria to other people. In most cases, the symptoms improve within 48 hours
of starting the antibiotics. It is important to complete the full course of
antibiotics, even if symptoms improve, to ensure that the infection is
It is an infectious disease caused by streptococcus
bacteria. It is characterised by a bright red rash and sore throat, as well as
other symptoms such as fever, chills, headache, nausea and vomiting. It can be
successfully treated with antibiotics, and is usually not serious if managed
What are the symptoms of scarlet fever?
It is characterized by a distinctive reddish rash on the
skin and a sore throat. It is most common in young children, especially between
the ages of 5 and 15 years, though it can occur in adults. The disease is
spread by contact with infected droplets from the nose and throat of an
The most common symptoms of scarlet fever include a sore throat, fever, chills, headache, and vomiting. The primary symptom of scarlet fever is a rash that typically appears on the face, chest, and upper back. It is usually red in color, and may have a slightly raised, bumpy texture. The rash usually fades within a few days, but may take up to a week to fully disappear. In some cases, the rash may spread to other parts of the body, including the stomach, arms, and legs.
In addition to the rash, other symptoms of scarlet fever can
include enlarged lymph nodes in the neck, joint pain, and abdominal pain. Some
patients may also experience a sandpaper-like texture to their tongue, referred
to as a “strawberry tongue”. A general feeling of fatigue is common, as is a
loss of appetite.
In some cases, complications can arise from scarlet fever,
though this is rare. Complications can include ear and sinus infections,
pneumonia, and rheumatic fever, which is an inflammatory condition of the
heart. Rarely, kidney damage may occur, though this is rare.
Diagnosis of scarlet fever typically requires both a
physical exam and a throat swab test. During a physical exam, the doctor will
look for signs of the rash as well as swollen lymph nodes. They may also take a
swab of the throat and analyse it in a laboratory. The swab test can confirm
the presence of the bacteria that causes scarlet fever.
Treatment for scarlet fever typically includes antibiotics,
which can be taken orally or intravenously. Pain relievers can also be used to
reduce symptoms. It is important that patients finish the entire course of
antibiotics, even if the symptoms have disappeared. This helps prevent the
disease from spreading to others.
The symptoms of scarlet fever include a sore throat, fever,
chills, headache, vomiting, enlarged lymph nodes, joint pain, abdominal pain, a
sandpaper-like tongue, fatigue, and a rash that typically appears on the face,
chest, and upper back. If left untreated, it can lead to complications, such as
ear and sinus infections, pneumonia, and rheumatic fever. Diagnosis typically
requires a physical exam and a throat swab test, and treatment usually involves
antibiotics and pain relievers.
Treatment of scarlet fever
The primary treatment for scarlet fever is antibiotics. The
antibiotic of choice is usually penicillin, although erythromycin may also be
used. Antibiotics are administered orally, usually in a two-week course, and
are designed to kill the bacteria that cause the infection. Taking antibiotics
as prescribed is essential to ensure the infection is properly treated. It is
also important to finish the course of antibiotics, even if the symptoms appear
to have cleared, as this will ensure the infection is fully eradicated.
Supportive care is also important in the treatment of
scarlet fever. This includes rest, fluids, and over-the-counter medications
such as paracetamol or ibuprofen to reduce fever and pain. A cool compress may
also be applied to the rash to help relieve the itching and discomfort. It is
important to avoid scratching the rash, as this can increase the risk of skin
In some cases, a scarlet fever vaccine may be recommended.
The vaccine is administered as a single injection and is effective in reducing
the risk of contracting scarlet fever. However, it is important to note that
the vaccine does not provide complete protection, and infection can still occur
in vaccinated individuals.
In more severe cases of scarlet fever, hospitalisation may be required. This is typically done to ensure the infection is properly monitored and treated, as well as to reduce the risk of further complications. In the hospital, antibiotics may be administered intravenously, and additional supportive treatments such as fluids and nutrition may be provided. The patient may also be monitored for any further complications, such as pneumonia or rheumatic fever.
The treatment of scarlet fever is essential
to reduce the severity of the symptoms and prevent long-term complications. The
primary treatment is antibiotics, usually taken orally in a two-week course.
Supportive care is also important and may include rest, fluids, and
over-the-counter medications to reduce fever and pain. In more severe cases,
hospitalisation may be required and additional treatments may be administered.
A scarlet fever vaccine is available and can reduce the risk of infection,
although it does not provide complete protection. Taking antibiotics as
prescribed is essential to ensure the infection is properly treated, and
finishing the full course of antibiotics is important to ensure the infection
is completely eradicated.
Is scarlet fever dangerous?
Scarlet fever can be a serious condition, especially in
young children. In the past, it was a common cause of death in children, but
with the availability of antibiotics, the mortality rate has decreased
significantly. However, if left untreated, scarlet fever can lead to
complications such as pneumonia, ear infections, and rheumatic fever. It is
important to seek medical treatment if you suspect that your child may have