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• #1 Scarlet fever – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/scarlet-fever/symptoms-causes/syc-20377406

  Scarlet fever features a bright red rash that covers most of the body. Scarlet fever almost always includes a sore throat and a high fever. The red rash of scarlet fever usually begins on the face or neck, later spreading to the chest, trunk, arms and legs. The signs and symptoms that give scarlet fever its name include: Red rash. The rash looks like a sunburn and feels like sandpaper. It typically begins on the face or neck and spreads to the trunk, arms and legs. Pushing on the reddened skin makes it turn pale. Red lines. The folds of skin around the groin, armpits, elbows, knees and neck usually become a deeper red than the other areas with the rash. Flushed face. The face may appear flushed with a pale ring around the mouth. Strawberry tongue. The tongue generally looks red and bumpy, and it’s often covered with a white coating early in the disease. Signs and symptoms of scarlet fever also include: Fever of 100.4 F (38.0 C) or higher, often with chills. Very sore and red throat, sometimes with white or yellowish patches. Difficulty swallowing. Enlarged glands in the neck (lymph nodes) that are tender to the touch. Nausea or vomiting. Belly (abdominal) pain. Headache and body aches. The rash and the redness in the face and tongue usually last about a week. After these signs and symptoms have gone away, the skin affected by the rash often peels. […] If scarlet fever goes untreated, the bacteria may spread to the: Tonsils. Skin. Blood. Middle ear. Sinuses. Lungs. Heart. Kidneys. Joints. Muscles. Rarely, scarlet fever can lead to rheumatic fever, a serious inflammatory disease that can affect the heart, joints, nervous system and skin.

• #1 Scarlet fever | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/scarlet-fever/

  Scarlet fever usually follows a sore throat or a skin infection, like impetigo, caused by particular strains of Streptococcus bacteria. […] The symptoms of scarlet fever usually develop 2 to 5 days after infection. However, the incubation period (the period between exposure to the infection and symptoms appearing) can be as short as one day or as long as 7 days. […] The distinctive pink-red rash caused by scarlet fever develops 12 to 48 hours after symptoms like a sore throat or headache. […] Red blotches are the first sign of the rash. These turn into a fine pink-red rash that feels like sandpaper to touch and looks like sunburn. It may also be itchy. […] The rash usually starts on the chest and stomach, but soon spreads to other parts of the body, like the ears, neck, elbows, inner thighs, and groin.

• #1 Scarlet fever: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000974.htm

  Scarlet fever is caused by an infection with bacteria called group A streptococcus. This is the same bacteria that cause strep throat. […] The time between infection and symptoms is short, most often 1 to 2 days. The illness will likely begin with a fever and sore throat. The rash first appears on the neck and chest, then spreads over the body. People say it feels like sandpaper. The texture of the rash is more important than the appearance to confirm the diagnosis. The rash can last for more than a week. As the rash fades, the skin around the fingertips, toes, and groin area may peel. […] Other symptoms include: Abdominal pain, Bright red color in the creases of the underarm and groin, Chills, Fever, General discomfort (malaise), Headache, Muscle aches, Sore throat, Swollen, red tongue (strawberry tongue), Vomiting. […] With proper antibiotic treatment, the symptoms of scarlet fever should get better quickly. However, the rash can last for up to 2 to 3 weeks before it fully goes away.

• #1 Scarlet fever – symptoms, causes and treatment | healthdirect

  https://www.healthdirect.gov.au/scarlet-fever

  Scarlet fever is a type of bacterial throat infection that also features a red (scarlet) rash. […] Symptoms include a very red sore throat, swollen glands, fever and a red rash that feels like sandpaper. […] Symptoms of scarlet fever usually appear between 1 and 3 days after catching the infection, and include a very red sore throat, swollen glands and fever. […] About 12 to 48 hours after symptoms start, red blotches appear on the skin, usually the head and neck and then spread to the body, including arms and legs. It can look like sunburn and feel like sandpaper. The rash lasts about 2 to 5 days. After the rash is gone, the skin on the fingers and toes may begin to peel. […] Scarlet fever may also cause: red bumps on the tongue this can look like a strawberry, or a whitish coating on the tongue, headache, abdominal pain, nausea and vomiting, very sore throat and tonsils swallowing can be difficult, swollen glands in the neck, muscle aches and chills.

• #1 Symptoms of Scarlet Fever | Group A Strep | CDC

  https://www.cdc.gov/group-a-strep/about/symptoms-of-scarlet-fever.html

  One to 2 days after the illness begins, a red rash usually appears. However, the rash can appear before illness or up to 7 days later. […] The rash usually begins as small, flat blotches that slowly become fine bumps that feel like sandpaper. […] The rash from scarlet fever fades in about 7 days. As the rash fades, the skin may peel around the fingertips, toes, and groin area. This peeling can last up to several weeks.

• #1 Scarlet fever – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/scarlet-fever/symptoms-causes/syc-20377406?_escaped_fragment_=&p=1

  Scarlet fever features a bright red rash that covers most of the body. Scarlet fever almost always includes a sore throat and a high fever. […] The signs and symptoms that give scarlet fever its name include: Red rash. The rash looks like a sunburn and feels like sandpaper. It typically begins on the face or neck and spreads to the trunk, arms and legs. Pushing on the reddened skin makes it turn pale. Red lines. The folds of skin around the groin, armpits, elbows, knees and neck usually become a deeper red than the other areas with the rash. Flushed face. The face may appear flushed with a pale ring around the mouth. Strawberry tongue. The tongue generally looks red and bumpy, and it’s often covered with a white coating early in the disease. […] Signs and symptoms of scarlet fever also include: Fever of 100.4 F (38.0 C) or higher, often with chills. Very sore and red throat, sometimes with white or yellowish patches. Difficulty swallowing. Enlarged glands in the neck (lymph nodes) that are tender to the touch. Nausea or vomiting. Belly (abdominal) pain. Headache and body aches. […] The rash and the redness in the face and tongue usually last about a week. After these signs and symptoms have gone away, the skin affected by the rash often peels.

• #1 Symptoms of Scarlet Fever | Group A Strep | CDC

  https://www.cdc.gov/group-a-strep/about/symptoms-of-scarlet-fever.html

  Skin rash and sore throat are common symptoms of scarlet fever. […] Physical signs of scarlet fever can appear on the tongue or skin and in the throat or neck. […] Some symptoms of scarlet fever are common to other infections, too. These may include: Fever (101F or higher) or chills, Headache or body aches, Nausea or vomiting, Sore throat and pain when swallowing, Stomach pain. […] Some physical signs are typical of scarlet fever. They show in the following areas: Skin, Tongue, throat, and neck. […] Signs of scarlet fever on the skin include: A red rash that feels rough like sandpaper, Brighter red skin in the creases of the underarm, elbow, and groin, Pale area around the mouth, Skin peeling as the rash fades. […] Early in illness: Whitish coating on the tongue. […] Later in illness: „Strawberry” (red and bumpy) tongue, Red and swollen tonsils, Swollen lymph nodes in the front of the neck, Tiny, red spots on the roof of the mouth, called petechiae, Very red throat, White patches or streaks of pus on the tonsils.

• #1 Scarlet fever | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/scarlet-fever/

  The rash usually fades after about a week, but the outer layers of skin, usually on the hands and feet, may peel for several weeks afterwards. […] In milder cases, sometimes called scarlatina, the rash may be the only symptom. […] Other symptoms of scarlet fever may include swollen neck glands, loss of appetite, nausea or vomiting, red lines in the folds of the body, a white coating on the tongue, and a general feeling of being unwell. […] Most cases of scarlet fever clear up after about a week without treatment. However, your GP may recommend treatment as it reduces the length of time you’re infectious, speeds up recovery, and lowers the risk of complications of scarlet fever. […] With treatment, most people recover in about 4 to 5 days and can return to nursery, school or work 24 hours after starting antibiotic treatment. […] Scarlet fever is usually treated with a 10-day course of antibiotics. […] The symptoms usually improve within 24 hours of starting antibiotics, with the other symptoms disappearing within a few days.

• #1

• #1 Scarlet fever: symptoms, treatment, prevention & parent support guide

  https://heloa.app/en/blog/3-5-years/health/scarlet-fever

  The symptoms of scarlet fever mimic those of other childhood illnessesKawasaki disease, viral exanthems, and even allergic drug reactions can confuse the picture. […] Modern medicine has upended the history of scarlet fever: with penicillin or amoxicillin administered for ten days, the vast majority of children recover swiftly, their risk of long-term complications plummeting. […] Its not just about clearing the rashthe aim is to fully eliminate the bacteria, forestalling rare but significant immune complications like acute rheumatic fever or glomerulonephritis (inflammation of the kidneys). […] Call your medical provider immediately if you spot worrying signs: persistent high fever above 40C (104F), severe headaches, breathing difficulties, persistent vomiting, altered consciousness, or dehydration. Such symptoms can signal serious complications and demand rapid assessment.

• #1 Scarlet fever: Symptoms, signs, causes and treatmentSearch IconSearch IconLogin iconFacebook iconInstagram iconX iconSnapchat iconLinkedIn iconYouTube iconSaveComment speech bubble iconX IconFacebook IconWhatsApp IconX IconFacebook IconWhatsApp IconSaveCo

  https://www.telegraph.co.uk/health-fitness/conditions/skin/scarlet-fever-symptoms-children/

  The rash lasts for several days, and may then start to peel. This peeling process can continue for several weeks. […] “Unlike measles or chickenpox, scarlet fever usually does not present with respiratory symptoms like coughing or sneezing,” says Dr Amuthalingam. The rash and strawberry tongue are the telltale signs to look out for, as this is what typically distinguishes scarlet fever from other viruses. […] “Scarlet fever is treated with antibiotics, typically a penicillin,” says Dr Amuthalingam. “It’s important to complete the full course of antibiotics as prescribed by a doctor. While mild cases may be managed at home with rest and supportive care, it’s essential to consult a healthcare professional for proper diagnosis and treatment, especially in severe or complicated cases.” […] Complications are rare, but they can happen during the height of the infection or for a few weeks afterward. These include ear infections, throat abscesses and sinusitis, along with more serious issues like pneumonia, meningitis and rheumatic fever.”

• #1 Scarlet Fever (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/scarlet-fever.html

  Scarlet fever is an illness that can happen in kids, usually 5-15 years old, who also have strep throat or strep skin infections. The strep bacteria make a toxin (poison) that causes a bright red, bumpy rash. […] The telltale rash is the main sign of scarlet fever. It usually starts on the neck, face, or chest, then spreads to the trunk, arms, and legs. The face is red, often with a clear area around the mouth. In body creases especially around the underarms, elbows, and groin the rash often is a brighter red and forms red streaks. […] Other symptoms of scarlet fever usually include: a red, sore throat, a fever, swollen glands in the neck. […] Also, the tonsils and back of the throat might be covered with a whitish coating, or look red, swollen, and dotted with whitish or yellowish specks of pus. Early in the infection, the tongue may have a whitish or yellowish coating. Then the coating wears off and the tongue is red and bumpy, called „strawberry tongue.” A child with scarlet fever also may have chills, body aches, nausea, vomiting, and loss of appetite. […] In rare cases, scarlet fever may develop from a streptococcal skin infection like impetigo or a cut that gets infected. In these cases, the child may not get a sore throat.

• #1 Scarlet Fever – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK507889/

  A thorough skin examination is essential, as a fine, blanching, maculopapular erythematous rash accompanied by a strawberry tongue strongly suggests scarlet fever. The rash associated with scarlet fever typically appears 2 to 3 days after the onset of infection but can be delayed for up to 7 days. The rashes generally begin on the trunk, underarms, and groin, spreading to the extremities while sparing the palms and soles. […] The prognosis for scarlet fever today is excellent, a significant improvement from the early 20th century. This progress is primarily attributed to the introduction of antibiotics and advances in rapid diagnosis. Once treatment begins, patients can usually resume regular activities 24 hours after their fever resolves. However, if left untreated, the condition may worsen, increasing the risk of complications related to GAS infection. For most patients who receive prompt treatment, the prognosis is excellent. Recovery typically occurs within 3 to 6 days, although skin symptoms may persist for 14 to 21 days. In some cases, the infection can recur. With the advent of antibiotics, the mortality rate for scarlet fever is now less than 1%. Morbidity is primarily associated with complications such as glomerulonephritis, rheumatic fever, sinusitis, and other infections, although these complications are rare.

• #1 Scarlet fever: a guide for general practitioners

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5649319/

  As in this case, scarlet fever typically presents with high fevers, an erythematous sore throat, strawberry-like tongue and a sand-paper like rash. This rash almost always originates from the groin and spreads bilaterally up the trunk to the axilla, at 710 days the rash spreads to the extremities and desquamates. Desquamation can be noted only on the palms and soles, not the trunk. […] The early treatment of scarlet fever is important, both to rectify symptoms and to prevent further spread of infection. The complications mostly present in the mediastinal area or arise from lymphatic or haematogenous spread. Local complications include peritonsillar and retropharyngeal abscesses, and usually present with prolonged symptoms or localised pain; affected patients generally have a toxic appearance. Other complications include acute rheumatic fever, glomerulonephritis, bacteraemia, pneumonia, endocarditis, and meningitis. […] The risks from these complications provide strong support for an early diagnosis and immediate treatment.

• #2 Scarlet Fever in Children | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/s/scarlet-fever-in-children.html

  Scarlet fever is an infectious disease that causes a rash. Its also known as scarlatina. It’s caused by the same kind of bacteria that causes strep throat. The rash is made up of tiny red bumps that feel like sandpaper. […] Symptoms can occur a bit differently in each child. They can start with: Fever, Sore throat, Chills, Headache, Vomiting, Stomach pain, Coated white tongue, Strawberry-like color of the tongue. The rash starts about 1 to 2 days after the first symptoms. The red, sandpaper-like rash appears on the neck, forehead, cheeks, and chest. It may then spread to the arms and back. The rash usually starts to fade after 2 to 7 days. The skin in the areas of the rash may peel after the infection is over, especially on the hands, feet, and genitals. […] The illness starts with symptoms, such as fever and sore throat. The rash starts about 1 to 2 days after symptoms. The red, sandpaper-like rash appears on the neck, forehead, cheeks, and chest. It may then spread to the arms and back. The rash usually starts to fade after 2 to 7 days. […] If not treated, scarlet fever can lead to several serious conditions of the heart, kidneys, and liver. When the bacteria affect the heart or joints, it is often called rheumatic fever.

• #2 Scarlet Fever: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1053253-overview

  Scarlet fever (known as scarlatina in older literature references) is a syndrome characterized by exudative pharyngitis, fever, and bright-red exanthem. […] The incubation period for scarlet fever ranges from 12 hours to 7 days. Patients are contagious during the acute illness and during the subclinical phase. […] When the condition is identified in a timely fashion, the prognosis is excellent. Most patients recover fully after 4-5 days, with resolution of skin symptoms over several weeks. Attacks may recur. […] Known complications, such as septicemia, vasculitis, hepatitis, or rheumatic fever, should be considered on a case-by-case basis as determined by the presence of clinical history and examination findings suggestive of those diseases.

• #2 Scarlet Fever – Harvard Health

  https://www.health.harvard.edu/a_to_z/scarlet-fever-a-to-z

  Scarlet fever usually is triggered by a strep throat infection, which causes the following symptoms: fever and chills, headache, a red and sore throat, enlarged tonsils, swollen lymph nodes („swollen glands”) in the neck. […] Within 12 to 48 hours after these symptoms appear, the typical scarlet fever rash begins. […] The scarlet fever rash is as bright red as sunburn, and it often has a fine texture like sandpaper („sandpaper rash”) or gooseflesh (goosebumps). It usually starts in the underarm area, groin and neck, then spreads to the trunk, back, arms and legs. Other symptoms of scarlet fever include: a pale area around the mouth, white strawberry tongue, red strawberry tongue or raspberry tongue that occurs when the white tongue coating peels and leaves a red coating with red dots, pastia’s lines.

• #2 Scarlet fever – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/scarlet-fever/symptoms-causes/syc-20377406?_escaped_fragment_=&p=1

  Scarlet fever features a bright red rash that covers most of the body. Scarlet fever almost always includes a sore throat and a high fever. […] The signs and symptoms that give scarlet fever its name include: Red rash. The rash looks like a sunburn and feels like sandpaper. It typically begins on the face or neck and spreads to the trunk, arms and legs. Pushing on the reddened skin makes it turn pale. Red lines. The folds of skin around the groin, armpits, elbows, knees and neck usually become a deeper red than the other areas with the rash. Flushed face. The face may appear flushed with a pale ring around the mouth. Strawberry tongue. The tongue generally looks red and bumpy, and it’s often covered with a white coating early in the disease. […] Signs and symptoms of scarlet fever also include: Fever of 100.4 F (38.0 C) or higher, often with chills. Very sore and red throat, sometimes with white or yellowish patches. Difficulty swallowing. Enlarged glands in the neck (lymph nodes) that are tender to the touch. Nausea or vomiting. Belly (abdominal) pain. Headache and body aches. […] The rash and the redness in the face and tongue usually last about a week. After these signs and symptoms have gone away, the skin affected by the rash often peels.

• #2 Scarlet fever | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/scarlet-fever/

  Scarlet fever usually follows a sore throat or a skin infection, like impetigo, caused by particular strains of Streptococcus bacteria. […] The symptoms of scarlet fever usually develop 2 to 5 days after infection. However, the incubation period (the period between exposure to the infection and symptoms appearing) can be as short as one day or as long as 7 days. […] The distinctive pink-red rash caused by scarlet fever develops 12 to 48 hours after symptoms like a sore throat or headache. […] Red blotches are the first sign of the rash. These turn into a fine pink-red rash that feels like sandpaper to touch and looks like sunburn. It may also be itchy. […] The rash usually starts on the chest and stomach, but soon spreads to other parts of the body, like the ears, neck, elbows, inner thighs, and groin.

• #2 Symptoms of Scarlet Fever | Group A Strep | CDC

  https://www.cdc.gov/group-a-strep/about/symptoms-of-scarlet-fever.html

  Skin rash and sore throat are common symptoms of scarlet fever. […] Physical signs of scarlet fever can appear on the tongue or skin and in the throat or neck. […] Some symptoms of scarlet fever are common to other infections, too. These may include: Fever (101F or higher) or chills, Headache or body aches, Nausea or vomiting, Sore throat and pain when swallowing, Stomach pain. […] Some physical signs are typical of scarlet fever. They show in the following areas: Skin, Tongue, throat, and neck. […] Signs of scarlet fever on the skin include: A red rash that feels rough like sandpaper, Brighter red skin in the creases of the underarm, elbow, and groin, Pale area around the mouth, Skin peeling as the rash fades. […] Early in illness: Whitish coating on the tongue. […] Later in illness: „Strawberry” (red and bumpy) tongue, Red and swollen tonsils, Swollen lymph nodes in the front of the neck, Tiny, red spots on the roof of the mouth, called petechiae, Very red throat, White patches or streaks of pus on the tonsils.

• #2 Scarlet fever | Description, Cause, Symptoms, & Treatment | Britannica

  https://www.britannica.com/science/scarlet-fever

  The scarlet fever rash, which appears shortly after the fever, has been described as a sunburn with goose pimples. The skin is covered with tiny red spots that blanch on pressure and has a rough sandpaper-like texture. This scarlet rash usually covers the entire body except for the area around the mouth, which remains pale. One of the most characteristic features of the rash is desquamation, or peeling, which occurs at the end of the first week. Desquamating skin comes off as fine flakes like bran. The hands and feet are usually the last to desquamate—not until the second or third week of the illness.

• #2 Scarlet fever – symptoms, causes and treatment | healthdirect

  https://www.healthdirect.gov.au/scarlet-fever

  Scarlet fever is a type of bacterial throat infection that also features a red (scarlet) rash. […] Symptoms include a very red sore throat, swollen glands, fever and a red rash that feels like sandpaper. […] Symptoms of scarlet fever usually appear between 1 and 3 days after catching the infection, and include a very red sore throat, swollen glands and fever. […] About 12 to 48 hours after symptoms start, red blotches appear on the skin, usually the head and neck and then spread to the body, including arms and legs. It can look like sunburn and feel like sandpaper. The rash lasts about 2 to 5 days. After the rash is gone, the skin on the fingers and toes may begin to peel. […] Scarlet fever may also cause: red bumps on the tongue this can look like a strawberry, or a whitish coating on the tongue, headache, abdominal pain, nausea and vomiting, very sore throat and tonsils swallowing can be difficult, swollen glands in the neck, muscle aches and chills.

• #2 Symptoms of Scarlet Fever | Group A Strep | CDC

  https://www.cdc.gov/group-a-strep/about/symptoms-of-scarlet-fever.html

  One to 2 days after the illness begins, a red rash usually appears. However, the rash can appear before illness or up to 7 days later. […] The rash usually begins as small, flat blotches that slowly become fine bumps that feel like sandpaper. […] The rash from scarlet fever fades in about 7 days. As the rash fades, the skin may peel around the fingertips, toes, and groin area. This peeling can last up to several weeks.

• #2 Scarlet fever: a guide for general practitioners

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5649319/

  As in this case, scarlet fever typically presents with high fevers, an erythematous sore throat, strawberry-like tongue and a sand-paper like rash. This rash almost always originates from the groin and spreads bilaterally up the trunk to the axilla, at 710 days the rash spreads to the extremities and desquamates. Desquamation can be noted only on the palms and soles, not the trunk. […] The early treatment of scarlet fever is important, both to rectify symptoms and to prevent further spread of infection. The complications mostly present in the mediastinal area or arise from lymphatic or haematogenous spread. Local complications include peritonsillar and retropharyngeal abscesses, and usually present with prolonged symptoms or localised pain; affected patients generally have a toxic appearance. Other complications include acute rheumatic fever, glomerulonephritis, bacteraemia, pneumonia, endocarditis, and meningitis. […] The risks from these complications provide strong support for an early diagnosis and immediate treatment.

• #2 Scarlet fever | informedhealth.org

  https://www.informedhealth.org/scarlet-fever.html

  Sometimes the symptoms of scarlet fever are quite mild, and may only include a bit of a sore throat, a moderate temperature and mild rash. But sometimes people develop a severe sore throat, high temperature and rash. […] Taking antibiotics will usually make the symptoms of scarlet fever go away within a few days.

• #2 Scarlet fever – symptoms, causes and treatment | healthdirect

  https://www.healthdirect.gov.au/scarlet-fever

  Treatment with antibiotics means most people recover in about a week, but left untreated scarlet fever can spread to other parts of the body and cause serious health problems. […] If left untreated, the bacteria might spread to the tonsils, lungs, skin, kidneys, blood or middle ear. Antibiotics will prevent serious health problems including rheumatic fever, kidney disease, pneumonia and joint pains.

• #2 Scarlet Fever – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK507889/

  A thorough skin examination is essential, as a fine, blanching, maculopapular erythematous rash accompanied by a strawberry tongue strongly suggests scarlet fever. The rash associated with scarlet fever typically appears 2 to 3 days after the onset of infection but can be delayed for up to 7 days. The rashes generally begin on the trunk, underarms, and groin, spreading to the extremities while sparing the palms and soles. […] The prognosis for scarlet fever today is excellent, a significant improvement from the early 20th century. This progress is primarily attributed to the introduction of antibiotics and advances in rapid diagnosis. Once treatment begins, patients can usually resume regular activities 24 hours after their fever resolves. However, if left untreated, the condition may worsen, increasing the risk of complications related to GAS infection. For most patients who receive prompt treatment, the prognosis is excellent. Recovery typically occurs within 3 to 6 days, although skin symptoms may persist for 14 to 21 days. In some cases, the infection can recur. With the advent of antibiotics, the mortality rate for scarlet fever is now less than 1%. Morbidity is primarily associated with complications such as glomerulonephritis, rheumatic fever, sinusitis, and other infections, although these complications are rare.

• #2 Scarlet fever: Causes, symptoms, treatment, and complications

  https://www.medicalnewstoday.com/articles/176242

  Other possible symptoms include: difficulty swallowing, feeling unwell, headache, itching, nausea, vomiting, loss of appetite, and abdominal pain, broken blood vessels in the folds of the body, for example, the armpits, groin, elbows, knees, and neck, known as Pastias lines, swollen neck glands, or lymph nodes, that are tender to the touch, a white coating forms on the tongue that peels away, leaving a red and swollen strawberry tongue. […] If severe muscle aches, vomiting, or diarrhea occur, the doctor will need to rule out other possible causes, such as toxic shock syndrome (TSS). […] The skin of the hands and feet will peel for up to 6 weeks after the rash has gone.

• #2 Scarlet Fever – Harvard Health

  https://www.health.harvard.edu/a_to_z/scarlet-fever-a-to-z

  Occasionally, scarlet fever follows a streptococcal skin infection, such as an infection of burns or wounds, or impetigo. When this happens, the rash and related skin symptoms appear, but there are no symptoms related to strep throat. […] Although the scarlet fever rash generally fades after 6 to 7 days, it is followed by a period of skin flaking and peeling that lasts for 10 to 14 days. Occasionally, in patients with severe rash, peeling and flaking may persist for a few weeks. […] In most cases, all signs of the scarlet fever rash are gone within two weeks, and there is no long-term scarring. However, because scarlet fever is a strep infection, patients with this illness have the same risk of strep complications (otitis media, pneumonia, rheumatic fever, glomerulonephritis, etc.) as patients without a rash.

• #2 Scarlet Fever: Causes, Symptoms, and Treatment

  https://patient.info/skin-conditions/viral-rashes/scarlet-fever

  Sometimes at roughly the same time as the sore throat comes on, the tongue goes red, with tiny white spots. This makes it look like a strawberry, hence the name: strawberry tongue. This is pretty typical of scarlet fever. […] After the sore throat and whitish tongue comes a red rash on the cheeks, chest and tummy. If you run your hands over the rash on the tummy and chest it feels slightly rough, like fine sandpaper. This is the typical rash of scarlet fever. […] After a couple of days the tongue, previously only slightly red with white spots, goes very red and a bit bigger than usual. Some people call this a 'beef tongue’. […] By this stage, the combination of a sore throat, rough-feeling rash and red tongue makes the diagnosis of scarlet fever fairly obvious to doctors. […] If left untreated, the rash and sore throat will fade over about 10 days, but the skin sometimes peels (like with sunburn).

• #2 Scarlet Fever and Group A Strep :: Frimley HealthierTogether

  https://frimley-healthiertogether.nhs.uk/parentscarers/worried-your-child-unwell/scarlet-fever

  Children commonly experience peeling of their fingers and toes after scarlet fever. […] Most cases of scarlet fever don’t cause problems, particularly if the condition is properly treated. Occasionally, Group A streptococcus can spread to other areas of the body, causing infections in the neck (tonsillar abscesses or lymph node abscesses), chest infections (pneumonia), bone and joint infections (spetic arthritis) or sepsis. This is called invasive Group A Streptococcal disease (iGAS). […] In addition, a small number of children experience complications in the week or two after recovering from scarlet fever. This can affect their kidneys (post-streptococcal glomerulonephritis) or their joints (post-streptococcal arthritis).

• #3 Scarlet Fever – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK507889/

  Scarlet fever is an infection caused by Streptococcus pyogenes (group A Streptococcus or „GAS”), which is a bacterium specific to humans. This condition is characterized by a blanching, erythematous, maculopapular rash, often described as „sandpaper-like,” a sore throat, „strawberry tongue,” and exudative pharyngitis. Scarlet fever primarily affects children and often accompanies GAS pharyngitis, although it may also arise from other GAS infections. Scarlet fever can lead to complications such as rheumatic heart disease and glomerulonephritis, so early recognition and treatment are crucial. […] Characteristic symptoms of scarlet fever include a coarse, papular erythematous rash, a strawberry tongue, and exudative pharyngitis. […] The characteristic rash of scarlet fever typically appears 24 to 48 hours after the onset of initial symptoms, most commonly GAS pharyngitis.

• #3 Scarlet fever – Wikipedia

  https://en.wikipedia.org/wiki/Scarlet_fever

  Scarlet fever typically presents with a sudden onset of sore throat, fever, and malaise. Headache, nausea, vomiting and abdominal pain may also be present. Scarlet fever usually follows from a group A streptococcal infection that involves a strep throat, such as streptococcal tonsillitis or more usually streptococcal pharyngitis. Often these can present together, known as pharyngotonsillitis. The signs and symptoms are therefore those of a strep throat but these are followed by the inclusion of the characteristic widespread rash. The rash usually appears one to two days later, but may appear before or up to seven days following feeling ill. […] The characteristic rash has been denoted as „scarlatiniform”, and it appears as a diffuse redness of the skin with small bumps resembling goose bumps. It typically appears as small flat spots on the neck or torso before developing into small bumps that spread to the arms and legs. It tends to feel rough like sandpaper. The cheeks might look flushed with a pale area around the mouth. The scarlet fever rash generally looks red on white and pale skin, and might be difficult to visualise on brown or black skin, in whom the bumps are typically larger, the skin looks like sandpaper, and the perioral pallor less obvious. The palms and soles are spared. The reddened skin blanches when pressure is applied to it. The skin may feel itchy, but is not painful. A more intense redness on the inside of skin folds and creases might be noticed. These are lines of petechiae, appearing as pink/red areas located in arm pits and elbow pits. It takes around a week for the main rash to disappear. This may be followed by several weeks of peeling of the skin of typically fingers and toes. The desquamation process usually begins on the face and progresses downward on the body. Sometimes, this peeling is the only sign that scarlet fever occurred. If the case of scarlet fever is uncomplicated, recovery from the fever and clinical symptoms, other than the process of desquamation, occurs in 5-10 days. After the desquamation, the skin will be left with a sunburned appearance.

• #3 Scarlet Fever (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/scarlet-fever.html

  Scarlet fever is an illness that can happen in kids, usually 5-15 years old, who also have strep throat or strep skin infections. The strep bacteria make a toxin (poison) that causes a bright red, bumpy rash. […] The telltale rash is the main sign of scarlet fever. It usually starts on the neck, face, or chest, then spreads to the trunk, arms, and legs. The face is red, often with a clear area around the mouth. In body creases especially around the underarms, elbows, and groin the rash often is a brighter red and forms red streaks. […] Other symptoms of scarlet fever usually include: a red, sore throat, a fever, swollen glands in the neck. […] Also, the tonsils and back of the throat might be covered with a whitish coating, or look red, swollen, and dotted with whitish or yellowish specks of pus. Early in the infection, the tongue may have a whitish or yellowish coating. Then the coating wears off and the tongue is red and bumpy, called „strawberry tongue.” A child with scarlet fever also may have chills, body aches, nausea, vomiting, and loss of appetite. […] In rare cases, scarlet fever may develop from a streptococcal skin infection like impetigo or a cut that gets infected. In these cases, the child may not get a sore throat.

• #3 Scarlet fever: Causes, Treatment, and Outcome — DermNet

  https://dermnetnz.org/topics/scarlet-fever

  In the untreated patient, the fever peaks by the second day and gradually returns to normal in 5-7 days. When treated with appropriate antibiotics, the fever usually resolves within 12-24 hours. […] By about the sixth day of the infection the rash starts to fade and peeling, similar to that of sunburned skin, occurs. Peeling of the skin is most prominent in the armpits, groin, and tips of the fingers and/or toes and may continue up to 6 weeks.

• #3 Scarlet fever: a guide for general practitioners

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5649319/

  As in this case, scarlet fever typically presents with high fevers, an erythematous sore throat, strawberry-like tongue and a sand-paper like rash. This rash almost always originates from the groin and spreads bilaterally up the trunk to the axilla, at 710 days the rash spreads to the extremities and desquamates. Desquamation can be noted only on the palms and soles, not the trunk. […] The early treatment of scarlet fever is important, both to rectify symptoms and to prevent further spread of infection. The complications mostly present in the mediastinal area or arise from lymphatic or haematogenous spread. Local complications include peritonsillar and retropharyngeal abscesses, and usually present with prolonged symptoms or localised pain; affected patients generally have a toxic appearance. Other complications include acute rheumatic fever, glomerulonephritis, bacteraemia, pneumonia, endocarditis, and meningitis. […] The risks from these complications provide strong support for an early diagnosis and immediate treatment.

• #3 Scarlet Fever (Scarlatina) Causes, Symptoms, Treatment, Complications

  https://www.medicinenet.com/scarlet_fever_scarlatina/article.htm

  Untreated scarlet fever has a worse prognosis and before the use of antibiotics, scarlet fever had a mortality (death) rate of about 15%-20%. […] Currently, the mortality rate is less than 1% because of early recognition and early treatment with antibiotics. […] In general, appropriately diagnosed and treated scarlet fever results in few if any long-term effects. However, if complications develop for whatever reason, problems that include kidney damage, hepatitis, vasculitis, septicemia, congestive heart failure, and even death may occur.

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