Scarlet fever: Difference between revisions
(Created page with "*Caused by GAS *Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later *Rash **Enanthem ***Tonsils/pharynx are red and covered w/ exudate ***Tongue may ha...") |
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==See Also== | ==See Also== | ||
Pediatric | [[Pediatric Rash]] | ||
[[Category:ID]] | |||
[[Category:Peds]] | |||
[[Category:Derm]] | |||
Revision as of 22:01, 11 June 2012
- Caused by GAS
- Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later
- Rash
- Enanthem
- 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
- Starts on neck, axillae, groin, spreads to trunk and extremities
- Red, finely punctate, sandpaper feel
- Desquamation follows
- Enanthem
- 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