Scarlet fever in the child

Scarlet fever in the child

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- I have a boy of 1 year and 8 months. On January 16, 2007 she became ill with scarlet fever. I stayed in the hospital with him for 10 days where he was given intravenous penicillin. I repeated his ASLO analysis on 26.02.2007 and he has ASLO 400. The doctor will give me treatment with OSPEN 7 days and after 3 weeks I will repeat ASLO again. Is it possible for my little boy to have a complication from scarlet fever?


Scarlatina is an infectious-contagious disease caused by type A beta-hemolytic streptococcus, being more common in kindergarten and school children, rarely under 2 years. Transmission is by air, from patients with scarlet fever or streptococcal angina or streptococcal carriers.
After a short incubation period of 3-5 days, the onset is sudden with fever, headache, dysphagia (sore throat) followed by the appearance of the enanthemum or scarlet angina (the bottom of the red neck, enlarged and red tonsils, with white deposits, charged tongue). with red edges and lymph nodes in the neck region enlarged and painful).
Following is scarlet fever or rash - which consists of small, reddish, reddish papules (like hen's skin) that appear on the neck, extending to the trunk and limbs.
At the level of the bending envelopes (elbows, knees) appear some thin red-purple lines. The face has a "palm-like" appearance: the cheeks are red-lit while the lips, the chin and the area around the nose are pale.
After the eruption disappears, a characteristic peeling occurs: first on the face and trunk with small scales and then on the soles and feet where the scales are larger.
Complications of scarlet fever can be: immediate complications - which can be caused either by the spread of streptococcus (adenitis, sinusitis, otitis, otomastoiditis, septicemia) or by the streptococcal toxins (toxic myocarditis, toxic hepatitis and toxic meningitis).
Late complications that may occur are acute joint rheumatism and renal impairment (glomerulonephritis). That is why all children with scarlet fever are admitted to the hospital for 7-10 days, where they receive penicillin treatment.
After discharge, for the prevention of complications, benzatin-penicillin cures (Moldamin) may be indicated; also, the child will remain isolated at home until 14-21 - the day of onset and will be followed (clinically, VSH, ASLO, pharyngeal exudate and urinary exam) by the pediatrician up to 30 days after onset. disease.
An increased ASLO titer only means the presence of a streptococcal infection in the recent past: this titer increases after a streptococcal infection and is maximal at 3-6 weeks after the onset of infection.
If kept high, it is an indicator of the risk of developing acute joint rheumatism.
Alina Pop-Began
- Resident doctor - Anesthesia and Intensive Care-

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