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Scarlet Fever or Scarlatina
Mode of Transmission & Symptoms:

     Scarlet Fever caused by the same Group A Streptococcus that causes Strep. Throat. 
     It produces an erythrogenic toxin into the body that causes a rash.  It almost always begins on the face, neck, and upper chest.  In more severe cases, it then spreads to the trunk and arms. 
     It starts as a diffuse reddish blush, with no discrete spots, and the reddish skin feels rough to the touch. 
The most characteristic manifestations of the rash are:
1. circumoral (around the mouth) pallor surrounded by a flushed face
2. a strawberry tongue
3. dark red lines in the creases of the skin folds called Pastia�s lines. 

The child may or may not feel sick, depending on the severity of the disease. 

The incubation period: 1 to 3 days. 

The period of infectivity:
     From one day before fever to the cure with antibiotics, or one week after the onset of the rash.
    
Your child must stay home until the rash is gone - they are contagious for 4 to 6 days after the onset of the fever and until the rash is gone.

Treatment:
    
Scarlet Fever must be treated with antibiotics, (also see "Treatment" section under Strep. Throat above.)

Complications:
     Scarlet Fever can be mistaken for red measles, which is a serious mistake because treatment is completely different.  Untreated Scarlet Fever can result in serious kidney or heart disease.  Please see your doctor immediately if you suspect Scarlet Fever.
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