Scarlet fever: Difference between revisions
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*Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later | *Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later | ||
*Rash | *Rash | ||
**Enanthem | **Enanthem (rash involving mucous membrane) | ||
***Tonsils/pharynx are red and covered w/ exudate | ***Tonsils/pharynx are red and covered w/ exudate | ||
***Tongue may have initial exudate followed by erythema ("strawberry tongue) | ***Tongue may have initial exudate followed by erythema ("strawberry tongue) | ||
***Soft palate have bright-red spots | ***Soft palate have bright-red spots | ||
**Exanthem | **Exanthem | ||
***Begins 1-2days after onset of illness | |||
***Starts on neck, axillae, groin, spreads to trunk and extremities | ***Starts on neck, axillae, groin, spreads to trunk and extremities | ||
***Red, finely punctate, sandpaper feel | ***Red, finely punctate, sandpaper feel | ||
***Pastia lines: linear petechial eruptions in antecubital/axilla | |||
***Desquamation follows | ***Desquamation follows | ||
*Treatment (to reduce rheumatic fever / nephritis) | *Treatment (to reduce rheumatic fever / nephritis) | ||
Revision as of 16:32, 31 August 2014
- Caused by GAS
- Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later
- Rash
- Enanthem (rash involving mucous membrane)
- Tonsils/pharynx are red and covered w/ exudate
- Tongue may have initial exudate followed by erythema ("strawberry tongue)
- Soft palate have bright-red spots
- Exanthem
- Begins 1-2days after onset of illness
- Starts on neck, axillae, groin, spreads to trunk and extremities
- Red, finely punctate, sandpaper feel
- Pastia lines: linear petechial eruptions in antecubital/axilla
- Desquamation follows
- Enanthem (rash involving mucous membrane)
- Treatment (to reduce rheumatic fever / nephritis)
- Penicillin VK 50mg/kg BID x 10d OR amoxicillin 40mg/kg/d in 2 divided doses x10d
- If pen allergic: Azithromycin 10mg/kg on day 1, 5mg/g days 2-5