Roseola

Question 1

Roseola: other names

Answer 1

= exanthem subitum = sixth disease = HHV 6

Question 2

Spread of roseola

Answer 2

Resp droplets

Question 3

Common age group for roseola

Answer 3

• B/n 6m - 2 yrs

Question 4

Clinical features of roseola

Answer 4

• Fever
  
  • 90% have only fever and irritability
  • Sudden
  • High fever for 3-5 days in an otherwise well child
• Rash - exanthem subitum:
  
  • ONLY AFTER FEVER RESOLVES - “defervescence”
  • “surprise rash”
  • represents clearing of infection
  • Neck and trunk
  • face and extremities
  • Blanching macular or maculopapular
  • Lasts for 1-2 days

• Other: lethargy, poor feeding, other viral Sx

Question 5

Mx of roseola

Answer 5

• Educate: self-limiting
• Bed rest, fluids
• Stay away from school/creche until rash subsides
• Prevention: good handwashing + drying, don’t share utensils
• No vax

Question 6

What is roseola often associated with?

Answer 6

• Highly associated with febrile convulsions

Question 7

What should you note about when a roseola case is infectious?

Answer 7

• Infectious before Sx - once have Sx no longer contagious!