Childs health

Question 1

How treat scarlett fever if child doesnt require admission

Answer 1

10 days of oral penicillin V
(azithromycin if penicllin allergy)

Question 2

Scarlett fever presentation

Answer 2

24/48 hours
Throat ache
Strawberry tongue
Rash more intense on cubital fossas

Question 3

What causes scarlett fever

Answer 3

Erythrogenic toxins from Group A strep

Question 4

Complications scarlett fever

Answer 4

Otitis media
Rheumatic fever - 20 days
Acute glomerulonephritis - 10 days post
Invasive complications - bacteremia, meningitis, nec fasc

Question 5

Rash scarlett fever

Answer 5

fine punctate erythema (‘pinhead’) which generally appears first on the torso and spares the palms and soles
children often have a flushed appearance with circumoral pallor. The rash is often more obvious in the flexures
it is often described as having a rough ‘sandpaper’ texture
desquamination occurs later in the course of the illness, particularly around the fingers and toes

Question 6

Presentation

Answer 6

fever: typically lasts 24 to 48 hours
malaise, headache, nausea/vomiting
sore throat
‘strawberry’ tongue
rash