Scarlet Fever

What is scarlet fever?

Scarlet fever is a bacterial infection caused by group A streptococcus pyogenes bacteria, which results in a characteristic rash, as well as fever and sore throat.

This infection mainly affects children between the ages of 5 and 15 and is considered one of the diseases that can be easily treated if diagnosed early.

Modes of transmission

Breathing and air
- Bacteria are transmitted from person to person through droplets when coughing or sneezing.
Direct contact
- Bacteria can be transmitted through contact with infected skin or contaminated surfaces.
Sharing personal tools
- Such as cups or utensils with an infected person.

Incubation period

The period between infection and the onset of symptoms usually ranges from 2 to 4 days.

Symptoms

A bright red skin rash, with a sandpaper-like texture.
- It begins on the face and neck before spreading to the extremities.
- It often spreads around the mouth, resulting in a flushed appearance of the cheeks.
Sore throat with pain when swallowing and redness of the tonsils.
Fever, often a body temperature exceeding 38.3°C.
Strawberry tongue, characterized by a red tongue with prominent raised bumps.

Other symptoms

Nausea
Abdominal pain
Headache
Vomiting

Risk factors

Children between the ages of 5 - 15 are most at risk.
Crowded places, such as schools and nurseries.
People with immunodeficiency diseases.
Children with a history of bacterial throat infections are more likely to develop scarlet fever.

Diagnosis

Clinical examination: Doctors rely on visible symptoms such as rash and sore throat. "Strawberry tongue" is also a classical diagnostic sign associated with scarlet fever.
Throat swab: A sample is taken from the throat and analyzed to detect the presence of Streptococcus bacteria. Rapid Antigen Tests (RADTs) are also commonly used for quicker diagnosis.
Blood test: In some cases, the doctor may order a blood test to check for other complications or infections.

Treatment

Antibiotics:
- The primary treatment for scarlet fever is antibiotics, such as penicillin or amoxicillin, which help eliminate bacteria and avoid complications.
Pain relievers:
- Such as paracetamol, can be used to relieve fever and pain.
Rest:
- Stay home and get some rest until you recover.

Complications

Infection of the middle ear
Kidney inflammation
Arthritis
Rheumatic fever
Tonsil cysts

Prevention

Hand washing:
- It is essential to teach children how to wash their hands properly and regularly.
Isolation of the infected person:
- The infected child should remain at home until fully recovered to avoid transmitting the infection to others.
Cover your mouth and nose:
- When coughing or sneezing, helps reduce the spread of bacteria.
Do not share personal items:
- Avoid sharing items with infected individuals to reduce the risk of transmission.