Understanding Scarlet Fever
Scarlet fever is a bacterial illness that develops in some people who have strep throat. It is also known as scarlatina.
Key Fact: Scarlet fever features a bright red rash that covers most of the body and is almost always accompanied by a sore throat and a high fever.
Common Symptoms
Sandpaper Rash
A red rash that looks like a sunburn and feels like sandpaper.
Strawberry Tongue
A tongue that looks red and bumpy, and it may be covered with a white coating early in the illness.
Sore Throat
Intense throat pain, which can be very red and patchy.
High Fever
Fever of 101°F (38.3°C) or higher, often with chills.
Risk Factors
- Having strep throat or a skin infection caused by Group A Strep
- Age (most common in children 5 to 15 years old)
- Living in close contact with others (schools, daycare)
Diagnosis & Treatment
Diagnosis
Diagnosis is made by a physical exam and a rapid strep test or throat culture.
Rapid Antigen Test
Throat Culture
Physical Examination
ASO Titer
Common Treatments
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Antibiotics: Standard treatment with penicillin or amoxicillin to kill the bacteria and prevent rheumatic fever.
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Pain Relievers: Acetaminophen or ibuprofen to manage fever and throat pain.
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Hydration: Drinking plenty of liquids to prevent dehydration and soothe the throat.