Scarlet fever complications?
summary
Scarlet fever is an acute respiratory infectious disease caused by group a hemolytic streptococcus infection. Traditional Chinese medicine calls it "rotten throat". The clinical features were fever, angina, diffuse bright red skin rash and obvious desquamation. A small number of patients have heart, kidney and joint damage due to allergic reaction. The disease occurs all year round, especially in winter and spring. Patients and carriers are the main sources of infection, which can be transmitted through air droplets, skin wounds or birth canal. People are generally susceptible, but the incidence is more common in children, especially in 5-15 years old. Scarlet fever complications? Let's talk about it
Scarlet fever complications?
During the epidemic period, more than 95% of the patients with common type belong to this type. The clinical manifestations were described above. There are angina, typical rash and general poisoning symptoms, submandibular lymph node enlargement, the course of disease is about 1 week.
Mild manifestations include low fever or no fever, mild systemic symptoms, mild congestion of pharynx, few rashes, pale color, atypical, and a small amount of flaky desquamate. The whole course of disease is 2-3 days, and it is easy to be missed diagnosis, which is more common in recent years.
Toxic systemic poisoning symptoms are obvious, high fever, vomiting, headache, rash can be sheet or hemorrhagic ecchymosis, or even delirium, toxic myocarditis and peripheral circulation failure, purulent meningitis, toxic shock, sepsis, etc. The mortality of this type is high, and it is rare at present.
matters needing attention
Patients were isolated for more than 6 days until pharyngeal culture was negative for 3 times and there were no complications. The isolation period should be extended for those with persistent positive pharyngeal culture. Acute phase should be bed rest. Eat soft and light food and drink plenty of water. Keep mouth and skin clean and sanitary to prevent secondary infection. The elderly can gargle with normal saline.