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: Tags: Clinical Cases Pediatrics paediatric rash scarlet Source Type: blogs