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Consultant for Pediatricians.
Photoclinic
Scarlet Fever Rash
By Robert P. Blereau, MD
Morgan City, La | July 28, 2011
This 5-year-old girl's pharynx was injected, and a group A beta-hemolytic streptococcal antigen test had a positive result. The child was given penicillin V orally, 250 mg twice daily, and the rash cleared completely within several days. Parents should be warned that the child's skin may desquamate as the last stage of healing—usually after 1 to 2 weeks.
Cases related to Staphylococcal Scalded Skin Syndrome
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Rarely encountered these days, scarlet fever is believed to be caused by sensitization to an erythrogenic toxin produced by strains of group A beta-hemolytic streptococci. Thus, previous exposure to the toxin is necessary for development of the rash seen here—fine, sandpaper-like and papular on an erythematous background (