Scarlet Fever

Question 1

What is scarlet fever caused by

Answer 1

Group a betahemolytic strep

Question 2

Transmission of scarlet fever

Answer 2

Direct or indirect contact w nasopharyngeal secretions

Question 3

What population is scarlet fever more common in

Answer 3

School aged children

Question 4

Initial s/s of scarlet fever

Answer 4

High fever and chills
Sore throat
Headache
Malaise
Abdominal pain and vomiting

Question 5

When does the scarlet fever rash appear

Answer 5

12 - 24 hours after initial symptoms

Question 6

Rash types

Answer 6

Enanthema
Exanthema

Question 7

Enanthema

Answer 7

Internal manifestations
Tonsils red swollen and covered w exudate
Throat red swollen
Tongue strawberry white then turns to strawberry red
Palate

Question 8

How long does the white strawberry tongue last

Answer 8

1-2 days

Question 9

when does the strawberry red tongue appear

Answer 9

4th-5th day

Question 10

palate

Answer 10

Erthymatous pinpoint lesions

Question 11

Exanthema

Answer 11

Manifestations external
Flushed face w circumpolar pallor
Red pin point rash
Desquamation begins by end of first wk

Question 12

Circumoral pallor

Answer 12

Paleness around mouth

Question 13

Red pinpoint rash

Answer 13

Absent on face
Feels like sandpaper
More intense of the folds of joints
(Behind knee, groin, axillary)

Question 14

Desquamation

Answer 14

Peeling of the skin

Question 15

Complications of scarlet fever

Answer 15

Retropharyngeal abscess
Sinusitis
Otis media
Acute and or long term glomerolnephritis&rheumatic fever

Question 16

Interventions

Answer 16

Antibiotics
Bed rest
Encouraging fluids
relief discomfort And sore throat
Prevent spread
Droplet precautions

Question 17

What precautions for scarlet fever

Answer 17

Droplet at least until 24 hr after starting antibiotics

Question 18

How can we prevent spread

Answer 18

Hand washing, discard tooth brush
Avoid sharing foods and drinks