Scarlet fever is a kind of bacterial infection in children which predominantly occurs in winter season, It is caused by a bacteria which is called as group-A streptococci of bet hemolytic type that elaborate erythrogenic toxins.
Symptoms of scarlet fever in children
Mouth Symptoms of Scarlet fever
Symptoms of scarlet fever in children
- It takes 3 to 5 days to show first signs of infection.
- Skin desquamation may begin in middle of the second week after the onset.
- Patient exhibits severe pharyngitis and tonsillitis.
- Fever with chills.
- Vomiting.
- In intra oral examination you will see highly erythematous throat and exudation can be seen.
- Lymph node related to neck can be enlarged and tender.
- Classical sign of diffuse , bright, scarlet to dusky red skin rash which aooears on the second or third day of the illness.
- Rash fades after 3 days.
- Rash is due to damage to walls of small capillaries in the skin which causes it's dilation and hyperemia.
Mouth Symptoms of Scarlet fever
- Stomatitis of the mouth which is called as stomatitis scarlatina.
- Throat is red and erythematous.
- Temples and cheek are flushed and red.
- Tonsils ans faucial pillars are usually swollen and may be covered with grayish exudate.
- Strawberry tongue- Papilla are edematous and hyperemic, White coating can be seen over the tongue. Papilla will project over the coating as small red nobs which gives the impression of strawberry tongue.
- Raspberry tongue- after coating is lost you can see deep red glistning and smooth tongue, swollewn hyperemic papilla can be seen.
- Oral mucosa- oral mucosa is congested and bad odor is seen. in sever conditions ulceration of cheek mucosa can be seen
- Hypoplasia of teeth may be seen if condition occurs during tooth development.