Scarlet Fever – Questions

  1. What is the age range/peak presentation of scarlet fever?

 

 

 

 

 

 

 

 

 

 

1A: Scarlet fever age is 2 to 6 years, with peak Incidence at 4yrs

 

2. What is the incubation period for scarlet fever?

 

 

 

 

 

 

 

 

 

 

2A: 2-4days

 

3. What is the clinical presentation of scarlet fever?

 

 

 

 

 

 

 

 

 

 

3A:

  1. fever
  2. malaise
  3. tonsillitis
  4. strawberry tongue
  5. rash

4. Describe the strawberry tongue/

 

 

 

 

 

 

 

 

 

 

 

4A: Tongue is covered in a white coating, through this red papillae may be seen, then the white coating goes leaving the tongue with a beefy, red appearance

 

5 Describe the rash of scarlet fever

 

 

 

 

 

 

 

 

 

 

 

5A:

  1. Typically starts on torson
  2. then spreads to the rest of the body
  3. rough sandpaper texture
  4. desquamintiation occurs later -especially fingers and toes

 

6 How is the diagnosis confirmed?

 

 

 

 

 

 

 

 

 

 

 

6A: from a throat swab

 

7: what is the treatment for scarlet fever?

 

 

 

 

 

 

 

 

 

 

 

7A: treat with oral penicillin immediately

 

8: What if they are penicillin allergic?

 

 

 

 

 

 

 

 

 

 

8A: Azithromycin

 

9: When can children with Scarlet fever return to school?

 

 

 

 

 

 

 

 

 

 

 

9A: 24hour after starting antibiotics

 

10: What’s the other thing you should do if you see a kid with scarlet fever?

 

 

 

 

 

 

 

 

 

 

10A: It’s a notifiable disease so needs discussion with public health.

 

11. Name three complications of scarlet fever

 

 

 

 

 

 

 

 

 

 

 

11A:

  1. Otitis Media
  2. Rheumatic fever
  3. acute glomerulonephritis

 

12. When might the rheumatic fever occur?

 

 

 

 

 

 

 

 

 

 

 

 

12A: Rheumatic fever typically occurs 20 days after infection

 

 

13: When does glomerulonephritis occur?

 

 

 

 

 

 

 

 

 

 

13A: Typically 10days after infection