Scarlet fever
Revision as of 21:58, 11 June 2012 by Rossdonaldson1 (talk | contribs) (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...")
- 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
See Also
Pediatric