Pediatric scarlet fever (scarlatina)

Scarlet fever (scarlatina) is a bacterial infection characterized by a red rash that spreads all over the body. Group A streptococcus, the same bacteria responsible for strep throat, causes scarlet fever.

What is pediatric scarlet fever (scarlatina)?

Scarlet fever (also know as scarlatina) is a bacterial infection characterized by a red rash that spreads all over the body. Group A streptococcus, the same bacteria responsible for strep throat, causes scarlet fever.

What are the signs and symptoms of pediatric scarlet fever (scarlatina)?

Symptoms start within a couple of days of exposure to the infection, beginning with a fever higher than 101 degrees and sore throat.

A rash is the most telling symptom of scarlet fever. It appears about two days after the infection begins and starts out first on the neck, underarms and groin. The rash begins as red blotches, then eventually looks like a sunburn with bumps on the skin.

Other symptoms include:

  • Chills and body aches
  • Fatigue (extreme tiredness)
  • Nausea/vomiting 
  • Swollen glands
  • Tongue with whitish, yellowish coating

What are the causes of pediatric scarlet fever (scarlatina)?

Scarlet fever is a bacterial infection caused by group A streptococcus. When an infected person sneezes or coughs, the droplets released can infect others. It can also be transmitted when someone touches an object that’s been contaminated or shares food or a drink.

Children can also become infected with scarlet fever from contact with sores from a group A streptococcus skin infection, such as
impetigo (causes red sores on the face).