Frankly my dear, I do give a damn
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka: Paediatric Perplexity 016
An 18 month old girl is brought in by Gran after developing a very red rash over the last 2 days.
She was seen by her GP a few days before with fevers, sore throat and lethargy and was diagnosed as a viral infection.
However the rash then came up the following day and she seemed to deteriorate…
What is the diagnosis?
+ Reveal Answer
expand(document.getElementById('ddet656783326'));expand(document.getElementById('ddetlink656783326'))
Scarlet Fever
What organisms cause it?
+ Reveal Answer
expand(document.getElementById('ddet1303077899'));expand(document.getElementById('ddetlink1303077899'))
Group A Beta Haemolytic Streptococci (GABHS)
What is the characteristic rash?
+ Reveal Answer
expand(document.getElementById('ddet162962588'));expand(document.getElementById('ddetlink162962588'))
A fine scarlet red erythematous blanching rash, initially starting on the trunk before spreading to the limbs with the appearance of patchy sunburn.
The most striking characteristics of the rash is its grainy sandpaper-like texture, a pathognomic feature
You may also notice sparing around the perioral area (circumoral pallor), linear areas of pigmentation in skin creases (Pastia lines) and, after 7-10 days, desquamation of the face and hands
Scarlet Fever can also cause a strawberry tongue.
What causes...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Johnny Iliff Tags: Clinical Cases Pediatrics paediatric rash scarlet Source Type: blogs
More News: Blogging | Children | Conjunctivitis | Databases & Libraries | Education | Emergency Medicine | Emergency Medicine Doctors | Erythema Infectiosum | Eyes | Girls | Glomerulonephritis | Group A Streptococcus | Kawasaki Disease | Myocarditis | Parvovirus | Pediatrics | Penicillin | Pneumonia | Respiratory Medicine | Rheumatology | Septicaemia | Skin | Sore Throat | Toxic Shock Syndrome | Toxicology | Universities & Medical Training