Treatment FAQ

what is the treatment for scarlet fever?

by Candice Wisozk Published 3 years ago Updated 2 years ago
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Doctors treat scarlet fever with antibiotics. Either penicillin or amoxicillin are recommended as a first choice for people who are not allergic to penicillin. Doctors can use other antibiotics to treat scarlet fever in people who are allergic to penicillin.

Medication

You can relieve symptoms of scarlet fever by:

  • drinking cool fluids
  • eating soft foods if you have a sore throat
  • taking painkillers like paracetamol to bring down a high temperature (do not give aspirin to children under 16)
  • using calamine lotion or antihistamine tablets to ease itching

Self-care

Treatments for scarlet fever Scarlet fever is treated with antibiotics. If you aren't allergic to penicillin, you'll likely be prescribed penicillin or amoxicillin. People who have a penicillin allergy will take a different course of antibiotics.

Nutrition

Symptoms usually appear within one to four days of coming into contact with an infected person. In the past, scarlet fever was considered to be a serious childhood disease. However, it is now easily treated with antibiotics. Once the infection has cleared, immunity develops and it is rare for scarlet fever to return.

What do you use to cure scarlet fever?

The use of a recommended antibiotic regimen to treat scarlet fever:

  • Shortens the duration of symptoms
  • Reduces the likelihood of transmission to family members, classmates, and other close contacts
  • Prevents the development of complications, including acute rheumatic fever

Is there any cure for scarlet fever?

Can scarlet fever be cured?

How is scarlet fever treated through antibiotics?

See more

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What is the most effective treatment for scarlet fever?

Penicillin or amoxicillin is the antibiotic of choice to treat scarlet fever.

Can scarlet fever go away on its own?

Most mild cases of scarlet fever resolve themselves within a week without treatment. However, treatment is important, as this will accelerate recovery and reduce the risk of complications. Treatment normally involves a 10-day course of oral antibiotics, usually penicillin.

How serious is scarlet fever?

Although scarlet fever was once considered a serious childhood illness, antibiotic treatments have made it less threatening. Still, if left untreated, scarlet fever can result in more-serious conditions that affect the heart, kidneys and other parts of the body.

How long does it take to get over scarlet fever?

Scarlet fever lasts for around 1 week. You can spread scarlet fever to other people up to 6 days before you get symptoms until 24 hours after you take your 1st dose of antibiotics. If you do not take antibiotics, you can spread the infection for 2 to 3 weeks after your symptoms start.

What is the main cause of scarlet fever?

Bacteria called group A Streptococcus or group A strep cause scarlet fever. The bacteria sometimes make a poison (toxin), which causes a rash — the “scarlet” of scarlet fever.

How contagious is scarlet fever?

4. Getting scarlet fever. Scarlet fever is highly contagious. Bacteria are present in the mouth, throat or nose of an infected person, or someone carrying the bacteria without symptoms, and are spread by contact with that person's mucus or saliva.

Do you need to go to hospital for scarlet fever?

Scarlet fever usually clears up after about a week, but if you think you or your child may have it, see your GP for a proper diagnosis and appropriate treatment. Your GP should be able to diagnose scarlet fever by examining the distinctive rash and asking about other symptoms.

When should you go to the ER for scarlet fever?

Call the doctor whenever your child suddenly develops a rash, especially if he or she also has a fever, sore throat, or swollen glands. This is especially important if your child has any of the symptoms of strep throat, or if someone in your family or at your child's daycare or school recently had a strep infection.

What are the long term effects of scarlet fever?

Long-term effects of scarlet fever Complications include: Swollen lymph nodes in the neck. Sinus, skin, and ear infections. Pockets of pus, or abscesses, around your tonsils.

What organs does scarlet fever affect?

The tonsils or middle ear can become infected and produce pus. Another possible complication of scarlet fever is rheumatic fever, where various joints or organs (e.g. the heart or kidneys) become inflamed.

Does Benadryl help with scarlet fever?

Antibiotics are used to kill the bacteria that cause the throat infection. For sore throat pain, you may use a combination of equal parts of over the counter medications (Benadryl Allergy 12.5mg/5ml and cherry Maalox.)

How do you treat scarlet fever without antibiotics?

During scarlet fever, you can take several steps to reduce your child's discomfort and pain.Plan plenty of rest. Sleep helps the body fight infection. ... Encourage plenty of water. ... Prepare a saltwater gargle. ... Humidify the air. ... Offer honey. ... Offer soothing foods. ... Avoid irritants.

Why do they swab the throat?

Throat swab. If your doctor suspects stre p is the cause of your child's illness, he or she will also swab the tonsils and back of your child's throat to collect material that may harbor the strep bacteria. Tests for the strep bacteria are important because a number of conditions can cause the signs and symptoms of scarlet fever, ...

How to help a child with a swollen throat?

Provide adequate fluids. Give your child plenty of water to keep the throat moist and prevent dehydration. Prepare a saltwater gargle. If your child is able to gargle water, give him or her salty water to gargle and then spit out. This may ease the throat pain. Humidify the air.

How to help a child with throat pain?

Treat fever and pain. Use ibuprofen (Advil, Children's Motrin, others) or acetaminophen (Tylenol, others) to control the fever and minimize throat pain. Provide adequate fluids.

How to diagnose a rash in a child?

Diagnosis. During the physical exam, your doctor will: Look at the condition of your child's throat, tonsils and tongue. Feel your child's neck to determine if lymph nodes are enlarged. Assess the appearance and texture of the rash.

What to do if your child has a fever?

However, when you call to set up your appointment, you may be urged to seek immediate medical care if your child is experiencing any of the following: High fever. Severe sore throat with difficulty swallowing.

Why is it important to test for strep?

Tests for the strep bacteria are important because a number of conditions can cause the signs and symptoms of scarlet fever , and these illnesses may require different treatments. If there are no strep bacteria, then some other factor is causing the illness.

What to do if your child has scarlet fever?

If your child has scarlet fever, your doctor will prescribe an antibiotic. Make sure your child completes the full course of medication. Failure to follow the treatment guidelines may not completely eliminate the infection and will increase your child's risk of developing complications.

What is the name of the bacterial infection that causes a rash and sore throat?

Scarlet Fever (Scarlatina) Scarlet fever, a bacterial infection caused by group A Streptococcus bacteria, causes symptoms and signs such as fever, rash with a sandpaper-like texture, and sore throat. Oral penicillin is the standard treatment for scarlet fever, or scarlatina.

How to tell if you have a rash on your tongue?

The symptoms include: A Sore throat that may show white or yellow patches when examined. Fever of 101 degrees Fahrenheit or higher, often with chills. A whitish coating on the surface of the tongue. The tongue may look like a strawberry. A rash first appeared as tiny red bumps on the chest and abdomen.

What is the name of the bacterial infection that causes a sore throat and red spots on the tongue?

Scarlet fever is a bacterial infection. The distinctive feature of scarlet fever is a sore throat followed by a rash made up of tiny pinkish-red spots that cover the whole body. Scarlet fever occurs mostly in children. The symptoms include: A whitish coating on the surface of the tongue.

What happens if scarlet fever is left untreated?

If scarlet fever is left untreated or treatment is unsuccessful, the following complications may arise: Rheumatic fever: This affects the heart and kidneys. This may also permanently damage the body and require long-term treatment. Ear infections. Adenitis or throat abscesses.

What is the red rash that causes scarlet fever?

Scarlet fever is a bacterial infection that causes a red rash. Learn more about scarlet fever, symptoms of scarlet fever, how doctors diagnose scarlet fever, and long-term effects of scarlet fever.

How long does scarlet fever last?

As scarlet fever is caused by bacteria, once the infection is confirmed, a course of antibiotics may be prescribed, usually penicillin, for up to 10 days. In some situations, a single dose of penicillin may be given by intramuscular injection. Patients allergic to penicillin may be treated with an alternative antibiotic, such as erythromycin.

What causes a red rash on the face?

During the infection, it can produce an erythrogenic (producing a red-colored) toxin. This toxin is responsible for causing the sandpaper-like red-colored skin rash and fever: The infection is often passed among classmates at school or among the family members. It's most often spread by droplet contact.

What test is used to test for scarlet fever?

Clinicians need to use either a rapid antigen detection test (RADT) or throat culture to confirm scarlet fever with pharyngitis. RADTs have high specificity for group A strep but varying sensitivities when compared to throat culture. Throat culture is the gold standard diagnostic test. Clinicians should follow up a negative RADT in a child ...

What is the name of the rash that is caused by scarlet fever?

Scarlet fever, also called scarlatina, is characterized by a scarlatiniform rash and usually occurs with group A strep pharyngitis. It can also follow group A strep pyoderma or wound infections.

What is the best antibiotic for scarlet fever?

Prevents the development of complications, including acute rheumatic fever. Penicillin or amoxicillin is the antibiotic of choice to treat scarlet fever. There has never been a report of a clinical isolate of group A strep that is resistant to penicillin.

How to prevent strep infection?

Good hand hygiene and respiratory etiquette can reduce the spread of all types of group A strep infection. Hand hygiene is especially important after coughing and sneezing and before preparing foods or eating. Good respiratory etiquette involves covering your cough or sneeze. Treating an infected person with an antibiotic for at least 12 hours reduces their ability to transmit the bacteria. Per the American Academy of Pediatrics Red Book 2018, people with scarlet fever should stay home from work, school, or daycare until:

How common is scarlet fever in children?

It is most common among children 5 through 15 years of age. It is rare in children younger than 3 years of age. In the United States, scarlet fever is most common during the winter. CDC does not track the incidence of scarlet fever or other non-invasive group A strep infections.

How is scarlet fever transmitted?

Typically transmission occurs through saliva or nasal secretions from an infected person. People with scarlet fever are much more likely to transmit the bacteria to others than asymptomatic carriers.

What is the gold standard for scarlet fever?

Throat culture is the gold standard diagnostic test. Clinicians should follow up a negative RADT in a child with symptoms of scarlet fever with a throat culture. Clinicians should have a mechanism to contact the family and initiate antibiotics if the back-up throat culture is positive.

What is the procedure to get a sample of a child's throat?

If the doctor suspects your child has scarlet fever, they’ll likely swab the back of your child’s throat to collect a sample of their cells for analysis. This is called a throat swab and is used to create a throat culture. The sample will then be sent to a laboratory to determine whether group A Streptococcus is present.

What is the name of the infection that causes a fever?

Scarlet fe ver, also known as scarlatina, is an infection that can develop in people who have strep throat. It’s characterized by a bright red rash on the body, usually accompanied by a high fever and sore throat. The same bacteria that cause strep throat also cause scarlet fever. Scarlet fever mainly affects children between the ages ...

What causes a red rash on the body?

Scarlet fever is caused by group A Streptococcus, or Streptococcus pyogenes bacteria, which are bacteria that can live in your mouth and nasal passages. Humans are the main source of these bacteria. These bacteria can produce a toxin, or poison, that causes the bright red rash on the body.

What is the age range for scarlet fever?

The same bacteria that cause strep throat also cause scarlet fever. Scarlet fever mainly affects children between the ages of 5 and 15 years. It used to be a serious childhood illness, but it’s often less dangerous today.

How long does it take for a scarlet fever to appear?

The scarlet-colored rash is what gives scarlet fever its name. The rash can begin up to two to three days before a person feels ill or up to seven days after#N#Trusted Source#N#.

What are the symptoms of scarlet fever?

Other common symptoms of scarlet fever include: red creases in the armpits, elbows, and knees (Pastia’s lines) flushed face. strawberry tongue, or a white tongue with red dots on the surface. red, sore throat with white or yellow patches. fe ver above 101°F (38.3°C)

How to prevent scarlet fever in children?

Practicing good hygiene is the best way to prevent scarlet fever. Here are some prevention tips to follow and to teach your children: 1 Wash your hands before meals and after using the restroom. 2 Wash your hands anytime you cough or sneeze. 3 Cover your mouth and nose when sneezing or coughing. 4 Don’t share utensils and drinking glasses with others, especially in group settings.

How to treat scarlet fever with ginger?

Similar to garlic, ginger can be taken for scarlet fever in relatively easy ways. Boil one cup of water and add one teaspoon of grated ginger to it. Let the mixture steep for a few minutes and then strain the liquid and drink. If this flavor isn’t to your liking, you can add a teaspoon of natural honey to the mix.

How to get rid of scarlet fever?

Internally, to help clean out the bacteria that causes scarlet fever, mix two teaspoons of apple cider vinegar in a glass of water and drink twice a day. Apple cider vinegar can also be used to soothe the rashes that are caused by scarlet fever. Take a cotton swab or a cotton ball and dip it into apple cider vinegar.

What causes a fever and a sore throat?

Scarlet fever is a bacterial illness that causes the skin to break out in pink or red rashes, and usually causes a high fever and a sore throat. It is very infectious through airborne bacteria and skin to skin contact, and while it mainly affects children, it can also affect adults.

What is the best treatment for scarlet fever?

Coconut Oil. Coconut oil may have antibacterial, antifungal, and even antiviral properties that could help you with a scarlet fever battle. Coconut oil is believed to contain monocaprin and monolaurin, which are known to help the body fight off bacteria and viruses.

How long does it take to cure scarlet fever?

Doctors will normally prescribe an oral antibiotic. This course of treatment is usually 10 days in length, and as long as you don’t have an allergy, the antibiotic is more than likely going to be penicillin.

Why do you drink fluids with scarlet fever?

With the fever that scarlet fever carries and the complications that it may bring, like excessive sweating and lack of appetite, it is a very idea to drink plenty of fluids in order to keep the minerals in your body replenished and avoid any dehydration that may come of it.

What is the best treatment for rashes?

Aloe Vera. Aloe vera is great for soothing skin issues of all sorts due to two amino acids it contains, phenylalanine and tryptophane, as well as a good dose of vitamin C. These amino acids and vitamins can help soothe the skin and also encourage the skin to heal itself from the damage that the rashes have caused.

What is the red rash on the face?

Scarlet fever. The red rash of scarlet fever usually begins on the face or neck, later spreading to the chest, trunk, arms and legs. Scarlet fever is a bacterial illness that develops in some people who have strep throat. Also known as scarlatina, scarlet fever features a bright red rash that covers most of the body.

What causes a red tongue and a red tongue?

Causes. Scarlet fever is caused by the same type of bacteria that cause strep throat. In scarlet fever, the bacteria release a toxin that produces the rash and red tongue. The infection spreads from person to person via droplets expelled when an infected person coughs or sneezes.

What is the scarlet fever?

Also known as scarlatina, scarlet fever features a bright red rash that covers most of the body. Scarlet fever is almost always accompanied by a sore throat and a high fever. Scarlet fever is most common in children 5 to 15 years of age. Although scarlet fever was once considered a serious childhood illness, antibiotic treatments have made it less ...

How long does scarlet fever last?

The rash and the redness in the face and tongue usually last about a week. After these signs and symptoms have subsided, the skin affected by the rash often peels. Other signs and symptoms associated with scarlet fever include: Enlarged glands in the neck (lymph nodes) that are tender to the touch.

How do you know if you have scarlet fever?

Symptoms. 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. If pressure is applied to the reddened skin, it will turn pale.

How to help a child with scarlet fever?

If your child has scarlet fever, wash his or her drinking glasses, utensils, and, if possible, toys in hot soapy water or in a dishwasher. By Mayo Clinic Staff.

What happens if you put pressure on your skin?

If pressure is applied to the reddened skin, it will turn pale. Red lines. The folds of skin around the groin, armpits, elbows, knees and neck usually become a deeper red than the surrounding rash. Flushed face.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Scarlet fever is usually treated using antibiotics.
Medication

Antibiotics: An oral antibiotic for 10 days is the treatment of choice for scarlet fever- penicillin or amoxicillin; Erythromycin is the alternate antibiotic, if allergic to penicillin.

Penicillin . Amoxicillin . Erythromycin


Analgesics: Used to relieve pain and reduce fever.

Acetaminophen

Self-care

Always talk to your provider before starting anything.

Children infected with scarlet fever should be given plenty of fluids to keep the throat moist and prevent dehydration.

Nutrition

Foods to eat:

  • Easy to swallow foods like warm oatmeal, cooked cereal, or grits
  • Cooked vegetables
  • Fruit or vegetable smoothies
  • Mashed potatoes
  • Broth and cream-based soups
  • Cold foods like gelatin desserts, popsicles and yogurts
  • Take non-acidic juices and fruit or vegetable smoothies

Foods to avoid:

  • Spicy food
  • Citrus fruits and juices
  • Tomato juice and sauces
  • Sour, pickled or brined foods
  • Alcohol
  • Tobacco

Specialist to consult

Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Etiology

Clinical Features

  • If your child has scarlet fever, your doctor will prescribe an antibiotic. Make sure your child completes the full course of medication. Failure to follow the treatment guidelines may not completely eliminate the infection and will increase your child's risk of developing complications. Your child can return to school when he or she has taken antib...
See more on mayoclinic.org

Transmission

  • You can take a number of steps to reduce your child's discomfort and pain. 1. Treat fever and pain.Use ibuprofen (Advil, Children's Motrin, others) or acetaminophen (Tylenol, others) to control the fever and minimize throat pain. 2. Provide adequate fluids.Give your child plenty of water to keep the throat moist and prevent dehydration. 3. Prepare a saltwater gargle.If your child is able …
See more on mayoclinic.org

Risk Factors

  • You're likely to first see your family doctor or your child's pediatrician. However, when you call to set up your appointment, you may be urged to seek immediate medical care if your child is experiencing any of the following: 1. High fever 2. Severe sore throat with difficulty swallowing 3. Intense abdominal pain or vomiting 4. Severe headache
See more on mayoclinic.org

Diagnosis and Testing

Treatment

Prognosis and Complications

Prevention

Epidemiology and Surveillance

Resources

  • The use of a recommended antibiotic regimen to treat scarlet fever: 1. Shortens the duration of symptoms 2. Reduces the likelihood of transmission to family members, classmates, and other close contacts 3. Prevents the development of complications, including acute rheumatic fever Penicillin or amoxicillin is the antibiotic of choice to treat scarle...
See more on cdc.gov

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