Lightning Learning: Scarlet Fever
There are on average 1-2K cases of scarlet fever each winter in the UK. Children between 4-8 years are amongst the most affected. It is caused by Streptococcus pyogenes (Group-A). This invasive bacteria can spread causing…
1) Peritonsillar abscess
Post-streptococcal complications also include…
6) Rheumatic fever
Peak occurrence is seasonal from December to April annually.
1) 24-hour prodrome: Sore throat, fever, headache, muscle ache, tummy ache, nausea & vomiting.
2) Skin signs: Red, generalised, pinhead rash spreading from the trunk, with a sandpaper-like texture which in the flexures causes “Pastia’s lines.”
3) Oropharyngeal signs: White coated or Strawberry tongue. including flushed cheeks, perioral pallor, inflamed tonsils +/- exudate.
- Consider throat swab
- Prescribe antibiotic without delay (10 day course Pen V or macrolide)
- Advise on self care (rest, fluids, hygiene, paracetamol)
- Advise exclusion from nursery, school, work for at least 24 hours
- Notify public health England