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Scarlet fever

Also known as Scarlatina

Scarlet fever (also called scarlatina in older literature) is an infectious disease which most commonly affects 4-8 year old children. Symptoms include sore throat, fever and a characteristic red rash. Scarlet fever is usually spread by inhalation. There is no vaccine, but the disease is effectively treated with antibiotics. Most of the clinical features are caused by erythrogenic toxin, a substance produced by the bacterium Streptococcus pyogenes (group A strep.) when infected by a certain bacteriophage.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with scarlet fever, 94% report having skin rash, 86% report having fever, and 81% report having sore throat. The symptoms that are highly suggestive of scarlet fever are skin rash, penis pain, and throat swelling, although you may still have scarlet fever without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with scarlet fever often receive complete physical skin exam performed (ml), influenzavirus antibody assay and nonoperative urinary system measurements .

Common Medications

The most commonly prescribed drugs for patients with scarlet fever include amoxicillin, penicillin, cefadroxil, calamine-pramoxine topical, brompheniramine / pseudoephedrine, colloidal oatmeal topical, phenol topical, lactic acid topical, lactobacillus acidophilus (dofus), chlorpheniramine / dextromethorphan / phenylephrine, erythromycin ophthalmic and lisdexamfetamine (vyvanse) .

Who is at risk?

Groups of people at highest risk for scarlet fever include age 5-14 years, age 1-4 years and race/ethnicity = black. On the other hand, age 75+ years and age 45-59 years almost never get scarlet fever.

Age

< 1 years
0.6x
1-4 years
6.2x
5-14 years
5.7x
15-29 years
0.3x
30-44 years
0.1x
45-59 years
0.0x
60-74 years
0.1x
75+ years
0.0x

Sex

Male
1.2x
Female
0.8x

Race/Ethnicity

Black
2.2x
Hispanic
1.1x
White
0.6x
Other
1.3x
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