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The Immune SystemScarlet fever Synonyms : Scarlatina Clinical features, Diagnosis, Management, Prognosis, Nutrition, Herbs,
Clinical features: < BACK TO TOP >
It has
a sudden onset usually with sore
throat, fever, shivering, headache and vomiting.
The
tonsils are enlarged and may be covered with a patchy
whitish purulent exudate.
There
is tender enlargement of the surrounding lymph nodes.
The
surface of the tongue is coated white, with the papillae enlarged and bright
red (‘white strawberry tongue?.
Subsequently,
desquamation (peeling) occurs, and the whole tongue appears red (‘red
strawberry tongue?.
The rash, which usually appears first behind the ears on the second
day, rapidly becomes a generalised erythema with roughened skin (‘sandpaper
rash?/i>).
It is
most intense in the flexures of the arms and legs and in the groin.
It
blanches on pressure except in the skin folds where dark red lines of
lymphangitis can be noticed (Pastia’a
sign).
The
face is not affected by the
rash, though it is usually flushed
due to fever, and the region round the mouth is pale. The rash fades in about 1 week and in succeeded by desquamation. Diagnosis: < BACK TO TOP >
It is
essentially clinical based on characteristic clinical picture.
Leukocytosis
with a marked shift to the left (increased number of young leukocytes) can be
demonstrated.
A
profuse growth of streptococci on culture can usually be obtained from a
throat swab.
Rapid
antigen detection tests are very sensitive for detecting streptococci in
throat swabs. Complications:
The
complications are less common today due to the introduction of effective
antibiotics.
Acute
otitis media and sinusitis may occur. Rheumatic fever and glomerulonephritis are rare complications which develop 2 or 3 weeks after the onset of any haemolytic streptococcal infection. Management < BACK TO TOP >
The
treatment of scarlet fever is the same as for plain streptococcal throat
infection. Patients respond rapidly to penicillin antibiotics. Prognosis < BACK TO TOP >
Nutrition < BACK TO TOP > Nutrition that alleviate or prevent Scarlet fever :- Herbs < BACK TO TOP > Herbs that alleviate or prevent Scarlet fever :- (source : -) |
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