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Questions and Answers
What is a common complication of scarlet fever?
What is a common complication of scarlet fever?
Which symptom is least likely to be associated with scarlet fever?
Which symptom is least likely to be associated with scarlet fever?
What preventative measure is recommended for scarlet fever?
What preventative measure is recommended for scarlet fever?
Which of the following antibiotics is a first choice treatment for scarlet fever?
Which of the following antibiotics is a first choice treatment for scarlet fever?
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What condition is NOT included in the differential diagnosis for scarlet fever?
What condition is NOT included in the differential diagnosis for scarlet fever?
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What is the most characteristic symptom of scarlet fever?
What is the most characteristic symptom of scarlet fever?
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Which of the following is a potential result of untreated scarlet fever?
Which of the following is a potential result of untreated scarlet fever?
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Which age group is most likely to be affected by scarlet fever?
Which age group is most likely to be affected by scarlet fever?
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What is the primary causative agent of scarlet fever?
What is the primary causative agent of scarlet fever?
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Which age group is most susceptible to scarlet fever?
Which age group is most susceptible to scarlet fever?
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Which of the following symptoms is NOT associated with scarlet fever?
Which of the following symptoms is NOT associated with scarlet fever?
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What is the typical incubation period for scarlet fever?
What is the typical incubation period for scarlet fever?
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What complication can arise from untreated scarlet fever?
What complication can arise from untreated scarlet fever?
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How does scarlet fever primarily spread?
How does scarlet fever primarily spread?
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What is a common characteristic of the rash associated with scarlet fever?
What is a common characteristic of the rash associated with scarlet fever?
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Which type of streptococcal toxin is implicated in causing scarlet fever?
Which type of streptococcal toxin is implicated in causing scarlet fever?
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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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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.