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Scarlet Fever

Pharyngitis with rash caused by streptococcal toxins.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Internal Medicine department. Book Appointment →

What is Scarlet Fever?

Scarlet fever is a pharyngitis with rash that develops as a reaction to erythrogenic exotoxins produced by Streptococcus pyogenes. It is common in children aged 5-15.

It begins with sudden fever, sore throat, and a typical sandpaper-like red rash. 'Strawberry tongue,' perioral pallor (Filatov's sign), and Pastia's lines (darkening at joint creases) are characteristic.

With early diagnosis and antibiotic treatment, possible complications (acute rheumatic fever, post-streptococcal glomerulonephritis) are prevented.

Symptoms

Sudden high fever and chills
Severe sore throat
Sandpaper-like red rash
Spreading from armpit, neck, and groin folds
Strawberry-like red tongue
Perioral pallor
Peeling on the palms and soles after the rash

Risk Factors

Being a child between 5-15 years
School and daycare environments
Crowded living
Streptococcal infection within the family
Seasonal transitions
Poor hygiene
Not having had scarlet fever previously

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If a child has fever, sore throat, and the typical rash
  • When strawberry tongue and perioral pallor are observed
  • When high fever lasts longer than 48 hours
  • When difficulty opening the mouth and severe neck pain begin
  • When joint pain, shortness of breath, or urinary changes occur

Treatment Methods

01
Penicillin or amoxicillin (10 days)
02
Macrolide or cephalosporin in those with allergies
03
Fever and pain control
04
Fluid intake and rest
05
Monitoring of household contacts
06
Follow-up for complications

Which Department to Visit?

You can visit our Enfeksiyon Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Enfeksiyon Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.