Paeds Flashcards
1
Q
Charlotte is a 7-year-old girl brought in by her mother with a 2 day history of fever and sore throat. Today she has developed a rash on her torso. She is eating and drinking well, but has not been to school for the last 2 days and has been feeling tired.
On examination, Charlotte is alert, smiling and playful. She has a temperature of 37.8°C. Her throat appears red with petechiae on the hard and soft palate and her tongue is covered with a white coat through which red papillae are visible. There is a blanching rash present on her trunk which is red and punctate with a rough, sandpaper-like texture.
Dx?
Causative agent?
Mx?
A
scarlet fever
Strep pyogenes (group A strep)
Pen V
