Scarlett: Symptoms, Diagnosis and Treatment
Scarlet fever is a serious infectious disease that usually occurs in childhood and is caused by a specific group of bacteria.
It is characterized by a sudden onset of fever, rash, followed by a skin rash.
Shall we talk about this a little bit?
What are the first symptoms?
The first symptoms are a sudden onset of high fever, cough, headache and sore throat.
After 12 to 48 hours of the onset of symptoms, the typical rash arises: diffuse reddish lesions (exanteema), micro papular.
The skin looks scarlet and is rough to the touch, like “sboke”. Starting in the chest and expanding to the whole body, sparing palms and soles of the feet.
In the face it affects the forehead and cheeks, with an pallor in the perioral region.
Changes in the tongue in the first 2 days, being covered with a white layer and the papillae are red and edematous, around the 3rd day the tongue has a “raspberry” aspect.
Reddish lesions become more intense in the skin folds such as groin, armpit and buttocks.
After three to four days of the onset of symptoms the rash and fever disappear, giving upward thrust to a peeling of the pores and skin, starting from the face and then to the trunk closer to the legs.
Scarlet fever isn't the only disorder resulting from this institution of bacteria.
They also can purpose pharyngitis, tonsillitis, skin infections like impetigo and erysipelas, pneumonia and infections unfold to the blood.
The disease develops only when bacteria release a toxin, causing the exantema.
How
is it transmitted?
Transmission of the bacteria takes place through direct touch via saliva, nasal secretions, coughing or sneezing.
Clusters in indoor environments, such as daycarecenters and schools, especially in cold months favor transmission.
It can be contaminated indirectly also by contaminated objects.
After contact with the sick person, we may have an incubation period between 2 and 5 days, and may take 7 to 12 days to begin with symptoms.
However, the period of transmission of the disease can reach 10 to 21 days in untreated patients.
Adults and children of all ages may have scarlet fever, and are more frequent in school-age children.
Once you have contact with the bacteria, the body confers immunity, but if anyone has contact with another serotype of the same bacterium may have any of the reported infections.
How
is the diagnosis made?
The diagnosis can be made clinically, analyzing the signs and symptoms presented.
However, milder forms of the disease may resemble other exhenopingal diseases and collection of oropharyngeal material may be necessary to identify the bacteria and to which antibiotic it is sensitive.
Children diagnosed with scarlet fever should be kept away from school during the initial phase of the disease (2 to 5 days) and after 24 to 48 hours of the start of appropriate treatment.
In general, recovery can take 2 weeks, even without treatment.
Although antibiotic treatment reduces the duration of symptoms and prevents complications from appearing.
The antibiotic recommended is penicillin performed intramuscularly in a single dose.
Scarlet fever is a benign disease, but it is always important to medically evaluate the child with exthema.
Signs such as persistent or high fever, vomiting, eating refusal and prostration are some of the alarm signs to seek medical attention urgently.
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