Scarlet Fever Overview
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Questions and Answers

What is a common complication of scarlet fever?

  • Rheumatic fever (correct)
  • Chronic asthma
  • Diabetes mellitus
  • Hypertensive crisis
  • Which symptom is least likely to be associated with scarlet fever?

  • Enlarged lymph nodes
  • Bright red rash
  • Very sore throat
  • Dizziness (correct)
  • What preventative measure is recommended for scarlet fever?

  • Frequent blood tests
  • Annual vaccinations
  • Standard infection precautions (correct)
  • Avoiding all meats
  • Which of the following antibiotics is a first choice treatment for scarlet fever?

    <p>Penicillin</p> Signup and view all the answers

    What condition is NOT included in the differential diagnosis for scarlet fever?

    <p>Asthma exacerbation</p> Signup and view all the answers

    What is the most characteristic symptom of scarlet fever?

    <p>Bright red rash</p> Signup and view all the answers

    Which of the following is a potential result of untreated scarlet fever?

    <p>Ear infections</p> Signup and view all the answers

    Which age group is most likely to be affected by scarlet fever?

    <p>School-aged children</p> Signup and view all the answers

    What is the primary causative agent of scarlet fever?

    <p>Group A beta-hemolytic streptococci</p> Signup and view all the answers

    Which age group is most susceptible to scarlet fever?

    <p>Children aged 5 to 15 years</p> Signup and view all the answers

    Which of the following symptoms is NOT associated with scarlet fever?

    <p>Persistent dry cough</p> Signup and view all the answers

    What is the typical incubation period for scarlet fever?

    <p>2 to 4 days</p> Signup and view all the answers

    What complication can arise from untreated scarlet fever?

    <p>Rheumatic fever</p> Signup and view all the answers

    How does scarlet fever primarily spread?

    <p>Droplets expelled through coughing or sneezing</p> Signup and view all the answers

    What is a common characteristic of the rash associated with scarlet fever?

    <p>It looks like a sunburn and feels like sandpaper</p> Signup and view all the answers

    Which type of streptococcal toxin is implicated in causing scarlet fever?

    <p>Exotoxins types A, B, and C</p> Signup and view all the answers

    Study Notes

    Scarlet Fever Overview

    • Scarlet fever is a bacterial illness, also known as scarlatina
    • Characterized by a bright red rash covering most of the body
    • Often accompanied by a sore throat and high fever
    • Most common in children aged 5 to 15 years old

    Learning Objectives

    • Identify the causative agent of scarlet fever
    • Understand the clinical presentation and complications of the disease
    • Recognize the available treatment options

    Background

    • Scarlet fever develops in some people who have strep throat
    • A bright red rash is a key feature that spreads across the body
    • Scarlet fever usually comes with a sore throat and high fever
    • While once a serious childhood illness, antibiotic treatments have lessened its severity
    • Untreated, it can lead to more serious issues, impacting the heart, kidneys, and other organs

    Causes

    • Caused by streptococcal pyrogenic exotoxins (SPEs) types A, B, and C
    • Produced by group A beta-hemolytic streptococci (GABHS)
    • Found in secretions and discharges from the nose, ears, throat, and skin
    • Spread through droplets expelled when an infected person coughs or sneezes
    • Incubation period typically lasts 2 to 4 days

    Risk Factors

    • Children aged 5 to 15 are more susceptible to scarlet fever
    • Transmission is more likely among those in close contact (family members, classmates)

    Symptoms

    • Red rash: Looks like a sunburn, feels like sandpaper, typically begins on the face/neck and spreads to trunk, arms, and legs; reddened skin turns pale under pressure
    • Red lines: Folds of skin around the groin, armpits, elbows, knees, and neck become more deeply red than the surrounding rash
    • Flushed face: Face appears flushed with a pale ring around the mouth (circumoral pallor)
    • Strawberry tongue: The tongue is red and bumpy, often covered with a white coating

    Additional Symptoms

    • Fever of 101°F (38.3°C) or higher, possibly with chills
    • Very sore and red throat, sometimes with white or yellowish patches
    • Difficulty swallowing
    • Enlarged, tender lymph nodes in the neck
    • Nausea or vomiting
    • Headache

    How to Spot Scarlet Fever

    • Fine red rash, feels like sandpaper
    • White coating on tongue that peels after a few days, becoming swollen and red ("strawberry tongue")
    • Fever over 38.3°C (101°F)
    • Flushed red face, but pale around the mouth
    • Swollen glands (lymph nodes) in the neck

    Complications

    • Rare but possible if bacteria spreads; complications include:
      • Abscesses around tonsils
      • Swollen neck lymph nodes
      • Ear, sinus, and skin infections
      • Pneumonia (lung infection)
      • Rheumatic fever (heart disease)
      • Post-streptococcal glomerulonephritis (kidney disease)
      • Arthritis (joint inflammation)
    • Treatment with antibiotics can prevent most complications

    Differential Diagnosis

    • Includes conditions like Kawasaki disease, toxic shock syndrome, and others (e.g. several viral infections)

    Prevention

    • There is no vaccine for scarlet fever
    • Prevention strategies are the same as standard precautions for infections (e.g., hand hygiene)

    Treatment

    • Penicillin or amoxicillin are the first-line treatments for those not allergic to penicillin
    • Other antibiotics are used for allergic individuals

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    Related Documents

    Scarlet Fever Information PDF

    Description

    This quiz provides an overview of scarlet fever, a bacterial illness primarily affecting children. Learn about its causes, symptoms, and available treatments, as well as its clinical implications. Test your knowledge on the key aspects of this disease.

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