Scarlet Fever Flashcards

1
Q

What is another name for scarlet fever?

A

Scarlet fever is also known as “scarlatina.”

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2
Q

What bacterium causes scarlet fever?

A

Scarlet fever is caused by the Streptococcus pyogenes bacterium, also known as group A streptococcus.

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3
Q

How is scarlet fever transmitted?

A

It is transmitted through direct contact with contaminated surfaces or via airborne transmission from coughing or sneezing.

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4
Q

What is the incubation period for scarlet fever?

A

The incubation period is 2-3 days, but it can range from 1-6 days.

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5
Q

How long is a person with scarlet fever infectious?

A

A person is infectious for 2-3 weeks after the onset of symptoms unless treated.

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6
Q

How long does scarlet fever typically last?

A

Scarlet fever usually lasts about 7 days.

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7
Q

Is scarlet fever self-limiting?

A

Yes, scarlet fever is self-limiting and usually mild.

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8
Q

Can someone get scarlet fever more than once?

A

It is uncommon to catch scarlet fever more than once, but it is possible to catch other forms of strep infection.

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9
Q

What age group is most commonly affected by scarlet fever?

A

Scarlet fever is most common in children between 2-8 years old.

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10
Q

What are the prodromal symptoms of scarlet fever?

A

Fever (usually above 39°C), sore throat, swollen neck glands, and flu-like symptoms 1-2 days before the rash.

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11
Q

Where does the scarlet fever rash start and spread?

A

Starts on the chest and abdomen, spreading to the rest of the body (cheeks may appear red, but the face is usually not affected).

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12
Q

What does the scarlet fever rash look like?

A

Small, raised bumps, rough like sandpaper, red-pink/brown in color. Harder to see on darker skin, but texture is noticeable.

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13
Q

What happens to the skin after the rash resolves?

A

The skin may peel after the rash resolves.

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14
Q

What is “strawberry tongue” in scarlet fever?

A

White coating on the tongue that peels, leaving it red, swollen, and covered in small bumps.

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15
Q

What are the common local spread complications of scarlet fever?

A

Otitis media, throat infection, abscess, sinusitis, and mastoiditis.

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16
Q

What are the immune-mediated complications of scarlet fever?

A

Acute rheumatic fever (Rheumatic fever is an inflammatory disease that can involve the heart, joints, skin, and brain) and glomerulonephritis (When the kidneys’ filters (glomeruli) become inflamed and scarred)

17
Q

What are invasive Group A streptococcal infections, and how serious are they?

A

These infections include streptococcal pneumonia, meningitis, cerebral abscess, and sepsis. They are life-threatening with a 15-25% risk of mortality.

18
Q

What should you do if you suspect scarlet fever?

A

Contact your GP for a telephone appointment. Scarlet fever is a notifiable disease, so inform the Health Protection Team (HPT) for UKHSA.

19
Q

What should you use to manage fever and aches in scarlet fever?

A

Paracetamol can be used for fever and aches. Ibuprofen may also be used, but check for any contraindications.

20
Q

How can you manage itching in scarlet fever?

A

Use aqueous calamine cream or antihistamines to manage itching.

21
Q

Why are antibiotics used for scarlet fever?

A

Antibiotics reduce illness duration, risk of complications (e.g., pneumonia), and spread of infection.

22
Q

What is the recommended antibiotic for scarlet fever?

A

Phenoxymethylpenicillin for 10 days. If allergic to penicillin, alternatives like azithromycin, clarithromycin, or erythromycin (for pregnant or breastfeeding women) are used.

23
Q

What should you advise regarding antibiotic use for scarlet fever?

A

Counsel patients to finish the full course of antibiotics and spread doses evenly throughout the day.

24
Q

What practical measures help prevent the spread of scarlet fever?

A

Wash hands frequently, use tissues for coughing/sneezing, throw tissues in the bin, and avoid sharing cutlery, cups, towels, clothes, or bedding.

Keep away from nursery/school/work for 24 hours after you take first
dose of antibiotic(s) or 2-3 weeks if no antibiotic(s)

25
Q

What can help with symptoms like a sore throat from scarlet fever?

A

Eat soft foods and stay hydrated (try ice lollies). Rest is also important for recovery.

26
Q
A