What are the symptoms of scarlet fever in children?

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Recently, my colleague's children often have fever: most of them have persistent high fever, and their body temperature is about 39 ℃. The child has always said that he has a headache, he has no strength, he has sore throat and swallowing pain, and the child has been crying. When he went to the hospital, the doctor said that he had scarlet fever in children. The doctor prescribed some medicine for the child, and told my colleague what he should pay attention to. Let's share it with you.

What are the symptoms of scarlet fever in children?

1. Most of them have sudden chills and fever. In severe cases, their body temperature can rise to 39 ℃ - 40 ℃, accompanied by headache, sore throat, waxberry tongue, loss of appetite, general discomfort, nausea and vomiting. Infants may have delirium and convulsions. Pharynx is red and swollen, and punctate or flaky secretions can be seen on tonsil. The soft palate is congested and edematous, and there may be red macular or bleeding spots large in grains of rice, that is, intramucosal rash, which usually appears before skin rash.

2. Skin rash is one of the most important symptoms of scarlet fever. Most of them appeared from the first day to the second day. Occasionally, the rash appeared later than the fifth day. It starts from behind the ear, at the bottom of neck and upper chest, spreads to the chest, back and upper limbs within one day, and finally to the lower limbs. A few of them need several days to spread to the whole body.

3. The typical skin rash is a needle cap sized, dense and uniform spot like congestive red rash scattered on the basis of whole body skin congestion and redness. The hand pressure subsides completely and reappears after decompression. Occasionally "chicken skin" papules, severe poisoning can have bleeding rash, patients often feel itching. In the skin folds, such as armpit, elbow, groin visible rash dense linear, known as "parsimony line". Facial hyperemia flush, there can be a small amount of rash, mouth and nose around the contrast appears pale, known as "mouth pale circle.".

matters needing attention

Scarlet fever patients should be treated in isolation; During the epidemic period of scarlet fever, patients with suspected scarlet fever, acute pharyngitis and tonsillitis should be treated in isolation; The carrier can be treated with conventional therapeutic dose of penicillin until the culture turns negative to control the source of infection.