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Scarlet fever in children: symptoms, signs, treatment, how it looks

Scarlet fever. ...What are the first signs of this infantile disease, which gives scarlet fever symptoms similar to those of other infectious diseases? Similar questions are often asked by parents of young children. After all, how quickly adults can "see" the first signs of scarlet fever, the

will determine the course of the disease, and the absence of complications after the infection.

Scarlet fever is an acute infectious disease, usually transmitted by airborne droplets. The scarlet fever is a beta-hemolytic streptococcus of the group A. Getting in favorable conditions, it begins to actively multiply and allocate a special toxin that poisons the child's body. In response to the attack, it reacts with acute inflammation of the tonsils, high temperature and rash all over the body.


  • 1
  • 2 Symptoms 2 Child's high temperature
  • 3 Abdominal distension from scarlet fever
  • 4 Diagnosis of
  • language disorder 5 First aid
  • 6
  • disease course 7 Therapeutic drugs
  • 8 Therapeutic drug

1 Symptoms of

disease If children are diagnosed with scarlet fever, the symptoms of the disease in the early stages are similar in character to sore throat: high fever, sore throat. It turns out that the connection between scarlet fever and sore throat itself is direct: both the disease and the other disease are caused by one type of streptococcus. But with time, the symptoms of scarlet fever become more complex, there are symptoms that are not characteristic of quinsy: rash, change the texture of the tongue.

Scarlet fever in children: symptoms, signs, treatment, how it looks

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Scarlet fever is considered a childhood illness, as the victims of streptococcus are mostly children from 3 to 10 years. Older children have better immune protection, so the older the baby becomes, the less likely it is to get scarlet fever. And newborn babies and children of the first year of life protect maternal immunity - the mother's immune cells that have fallen into the blood of the baby through the placenta.

Before the discovery of antibiotics, "purple fever," as it was called scarlet fever, was considered a deadly illness. At present, this disease is dangerous not so much an acute form of leakage, but its complications: pneumonia, lymphadenitis, glomerulonephritis, allergic myocarditis.

However, if it is time to recognize scarlet fever and treat it under the supervision of a doctor, then with great probability one can avoid the occurrence of complications. The main thing - to immediately see the signs of scarlet fever in the child and start to fight the infection, reducing the risk of the consequences of the disease.

There are several signs that you can suspect that a child has fallen ill on scarlet fever. Among them:

  • high temperature;
  • rash on the body;
  • angina;
  • tiled tongue.

2 High Child Temperature

The first indication that the child's body was exposed to the infection is high fever. This symptom can not be ignored - the temperature literally "flutters", and the mercury column of the thermometer can reach 40 degrees. The child complains of nausea, discomfort in the throat, may experience abdominal pain, tachycardia. All of this - signs of intoxication of the body, increasing very intensively. The initial symptoms of scarlet fever include muscle pain, increased activity of the child or, conversely, lethargy and drowsiness.

Scarlet fever in children: symptoms, signs, treatment, how it looks

If the first symptoms of scarlet fever can still be taken for angina, then the following signs will make the necessary clarity - the child is ill with scarlet fever.

What does a scarlet fever rash look like? On the background of signs of intoxication of the body begin to show specific signs. One of these symptoms is rash. It occurs 2-3 hours after the onset of the disease and gradually captures all the large surfaces of the body. At first, it can be detected only in the area of ​​the quill, and after a few hours bright red spots pour the neck and face of the baby. While the cheeks and forehead are seized by rashes completely, the nasolabial triangle stands out on the face of the baby with its purity. Clean nasolabial triangle - skin from the wings of the nose to the upper lip, one of the characteristic signs of scarlet fever.

Having affirmed on the face, the rash captures back and upper chest, and then spreads throughout the body. These fine red dots are particularly well pronounced on the bends of the hands, the inner surface of the thighs, on the sides. These places are the most vulnerable to the manifestation of the symptom - the rash here will be the most vivid, and after the end of the illness will go in the last turn. The color of the rash varies from pink to a bright red hue. Where there are folds( in the axillary depressions, at the bends of the elbows, in the groin region, in the folds of the abdomen), small bubbles may burst and merge into a large spot that will itch and itch. Sometimes the rash does not look like a point, but as small bubbles, filled with fluid.

Usually rash is kept on the skin for 3 to 7 days. As soon as the condition of the baby improves, the rash begins to ascend. At first, it is pale, then turns into dry scales and gradually disappears, leaving rough areas on the skin. As a rule, the traces do not remain after the rash, but bathing the baby at this time is not recommended - this can provoke the suppuration of the skin in the area of ​​rashes.

The scarlet fever rash itself is not dangerous, it does not require special treatment. But this symptom may be a sign of more horrendous diseases: measles, rubella, meningitis.

3 Abnormal stenosis of scarlet fever

Scarlet fever in children in 99% of cases is accompanied by sore throat. After all, the first target of scarlet fever that penetrates the body through airborne droplets, is the throat and tonsils. Accepted the first infectious attack, they respond to the invasion of infection first.

Scarlet fever in children: symptoms, signs, treatment, how it looks

A child begins to complain about sore throat already in the first hours of the disease. After a while, the throat is red, the tonsils swell, and swallowing causes severe pain. At the sight of the throat it is clear that the tonsils have a bright red color, the same color has a tongue of soft palate.

A special disparity in scarlet fever in a child is a more severe throat redness than with angina. It is no coincidence that the scarlet fever itself is called "burning up", while paying attention to a clear border of redness - the inflammation does not extend to the solid sky, but only captures the soft.

When scarlet fever occurs in mild form, angina passes through 4-5 days. However, necrotic angina can sometimes develop. In this case, the tonsils form areas of necrosis, and the high temperature can remain longer, up to 10 days.


DISEASE DIAGNOSIS At the first symptoms of a child's disease and suspicion of scarlet fever, one needs to carefully examine not only the baby's throat, but also the language that "tells" the child's condition better than himself. When scarlet fever in the language of a sick baby, at the beginning of the disease you can see a white plaque, through which you can see enlarged red papillae.

For the third day from the onset of symptoms, the white plaque begins to disappear. At the same time, the language becomes "textured" - it becomes bright red, closer to the crimson color, the coloration with pronounced swollen papillae.

Scarlet fever in children: symptoms, signs, treatment, how it looks

This symptom also has its name associated with the color typical of coloring the organs of the oral cavity with scarlet fever - "raspberry tongue".This feature of the language is usually observed within 1-2 weeks and is weakened as the child's condition improves.

5 First Aid

In the first signs of scarlet fever in children, treatment should be started immediately, strictly following the recommendations of the physician. In time, detected scarlet fever is without complications, the main thing - proper treatment and strict adherence to all prescriptions of the doctor.

Treatment of scarlet fever in the age of powerful antibiotics does not present a particular complexity. Children with severe forms of illness and pronounced signs of intoxication must be sent to inpatient treatment. Medium and mild forms of the disease allow small patients to remain at home treatment.

6 The course of the disease

At 4-5 days after the disease, the symptoms of scarlet fever in children begin to weaken:

  • lowers the temperature;
  • reduces intoxication;
  • weaken signs of acute angina.

After 5 days, in the case of a mild form of the disease, angina almost passes, tonsils are cleared. After 10 days from the onset of the disease, the language is cleared-it acquires a normal color, completely free of plaque.5-7 day is marked by the release of a rash. The skin of the child has not yet fully recovered - the rash changes with peeling of the skin, which ends at the end of the third week from the beginning of the first symptoms. The largest scales of dry skin come down from the toes and the hands, and on the palms the skin can go up with larger, dry films. With the completion of peeling and the process of skin renewal, the child's final recovery can be linked.

7 Therapeutic drugs

The group of medicines that successfully fight scarlet fever in children:

  • antibiotics;
  • antiallergic remedies;
  • other medicines.

The first place among fighters with symptoms of scarlet fever is given to antibiotics. And this is no accident - they allow you to neutralize and destroy the pathogens of scarlet fever. In the range of drugs - penicillin, tetracycline, biomicin, bicillin and many others. What kind of antibiotic to appoint a child - will decide the doctor. It all depends on the severity of the disease and the peculiarities of the child's response to specific medications. Some antibiotics have significant side effects, so many of them are prescribed to children with particular caution. If the child is on a stationary treatment, then he will most likely prescribe medications in the form of injections. And for "home" children the doctor will put pills or candles - depending on the situation.

Why do you need antihistamines for scarlet fever in children? Streptococcus, which is the cause of scarlet fever, is a very "evil" microbe. It secures a host of dangerous toxins. Protecting from strangers, the child's body can sometimes give a very powerful deflection - so an allergic reaction arises. For the course of the illness to be complicated by the onset of allergy, the doctor may prescribe antiallergic drugs to the child. Usually it is suprastin, tavegil or fancarol, which are allowed for the reception of children. In addition, antihistamine ointments are used in the fight against rash, which can sometimes bring baby anxiety. Some antihistamines have their age limitations in their testimony, so they are prescribed to young children with particular caution.

8 Medicinal Therapy

In addition to antibiotics and antiallergic drugs, there is sometimes evidence for the addition of drugs that reduce the effect of streptococcal toxins on the body. These drugs are necessary for children with severe intoxication, which is manifested by the following symptoms:

  • vomiting;
  • weakness;
  • severe headache;
  • drowsiness, loss of consciousness possible;
  • tachycardia;
  • Blood Pressure Increases;
  • increase liver and spleen.

How to be with temperature? To remove one of the most unpleasant symptoms of child scarlet fever - high fever - children can be prescribed anti-inflammatory drugs, such as paracetamol or ibuprofen.

For the control of tonsillitis, which is an indispensable companion of scarlet fever, the child commands frequent mouthwashes with decontamination solutions. These simple procedures will help reduce throat pain and ease swallowing. Well recommended for the pain relief of a solution of salt and soda, infusions of sage and camomile. For rinsing it is necessary to use hot, but warm liquids, the procedure itself is recommended for doctors to do as often as possible - up to 4-6 times a day.

In the treatment of children with scarlet fever, an important integrated approach. It is necessary not only to strictly observe the prescriptions of the doctor, but also to provide a sick child a strict bed rest. This is especially true in the period of antibiotic treatment. Compliance with the diet, bed rest, and all procedures will speed up the child's recovery and prevent complications.