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Scarlet fever

Última revisão: 3 Mar 2025
Última atualização: 16 Apr 2024

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
Detalhes completos

Outros fatores diagnósticos

  • strawberry tongue
  • skin desquamation
  • headache
  • nausea
  • vomiting
  • abdominal pain
Detalhes completos

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
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • rapid antigen detection test (RADT) for group A streptococcus (GAS)
Detalhes completos

Investigações a serem consideradas

  • bacterial culture (throat, skin, wound)
  • polymerase chain reaction for group A streptococcus (GAS)
Detalhes completos

Algoritmo de tratamento

AGUDA

all patients

Colaboradores

Autores

Alexandra Brugler Yont​s, 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.

  • Scarlet fever images
  • Diagnósticos diferenciais

    • Kawasaki disease
    • Erythema infectiosum (parvovirus B19, fifth disease)
    • Rubella
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Scarlet fever: information for clinicians
    • Group A streptococcal (GAS) pharyngitis: a practical guide to diagnosis and treatment
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Sore throat

    Tonsillitis

    Mais Folhetos informativos para os pacientes
  • Calculadoras

    Sore Throat (Pharyngitis) Evaluation and Treatment Criteria (McIsaac)

    Mais Calculadoras
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