Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- scarlatiniform rash
- fever (>100.4°F [>38.0°C])
- sore throat
- tonsillopharyngeal inflammation
- tonsillopharyngeal exudate
- palatal petechiae
- anterior cervical adenitis
- no cough
- pyoderma
Outros fatores diagnósticos
- strawberry tongue
- skin desquamation
- headache
- nausea
- vomiting
- abdominal pain
Fatores de risco
- group A streptococcus (GAS) pharyngitis
- close contact with a person with scarlet fever or other group A streptococcus (GAS) presentation
- age 1-10 years
- winter and spring seasons
- crowded environment
- close contact with children ages 1-10 years
- nonpharyngitis group A streptococcus (GAS) infection
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- rapid antigen detection test (RADT) for group A streptococcus (GAS)
Investigações a serem consideradas
- bacterial culture (throat, skin, wound)
- polymerase chain reaction for group A streptococcus (GAS)
Algoritmo de tratamento
all patients
Colaboradores
Autores
Alexandra Brugler Yonts, MD
Attending Physician
Pediatric Infectious Diseases
Children's National Hospital
Assistant Professor of Pediatrics
The George Washington University School of Medicine and Health Sciences
Washington
DC
Declarações
ABY is employed full-time as a Pediatric Infectious Diseases physician by Children's National Hospital. As an Investigator, her department has received institutional grant money (not in the form of salary support) for clinical trials (unrelated to the article topic) sponsored by Pfizer and ContraFect, for which there is no contractual agreement to disseminate product information. ABY has given one lecture to a local noncommercial, nonprofit, pediatrics organization (Northern Virginia Pediatric Society) at their quarterly meeting and briefly discussed the topic of streptococcal pharyngitis diagnosis and management (but did not discuss the article topic specifically). ABY has given educational talks to outside organizations unrelated to the article topic. ABY has received digital media equipment for use during a media briefing panel on the topic of the impact of the COVID-19 pandemic on children, which was organized by SciLine, a service based out of the American Association for the Advancement of Science.
Revisores
Monika Dietrich, MD, FAAP
Assistant Professor of Pediatrics
Section of Pediatric Infectious Disease
Children's Hospital New Orleans
Tulane University School of Medicine
Tulane
New Orleans
LA
Declarações
MD declares that she has no competing interests.
Theresa Lamagni, BSc MSc PhD
Head of Gram Positive Infection
Healthcare-Associated Infection & Antimicrobial Resistance Division
UK Health Security Agency (UKHSA)
London
UK
Declarações
TL declares that she has no competing interests.
Diagnósticos diferenciais
- Kawasaki disease
- Erythema infectiosum (parvovirus B19, fifth disease)
- Rubella
Mais Diagnósticos diferenciaisDiretrizes
- Scarlet fever: information for clinicians
- Group A streptococcal (GAS) pharyngitis: a practical guide to diagnosis and treatment
Mais DiretrizesFolhetos informativos para os pacientes
Sore throat
Tonsillitis
Mais Folhetos informativos para os pacientesCalculadoras
Sore Throat (Pharyngitis) Evaluation and Treatment Criteria (McIsaac)
Mais CalculadorasConectar-se ou assinar para acessar todo o BMJ Best Practice
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