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Lexicon: S
Scarlatina and frequency therapy
**Encyclopaedia entry: Scarlet fever (Scarlatina)**
**Definition:**
Scarlet fever, also known as Scarlatina, is an acute infectious disease caused by the bacterium *Streptococcus pyogenes* (Group A streptococcus). It is characterised by a sore throat, fever and a characteristic red rash.
**Causes:**
Scarlet fever is caused by toxins produced by the streptococcus bacteria. These bacteria are also responsible for other illnesses such as sore throats and skin infections.
**Transmission:**
- **Droplet infection:** Through coughing, sneezing or direct contact with an infected person.
- **Contact infection:** Rarely through touching contaminated objects or surfaces.
**Symptoms:**
The symptoms of scarlet fever usually appear 1 to 4 days after infection and include:
- Sudden high fever
- Sore throat and difficulty swallowing
- Headache
- Nausea and vomiting
- A fine-spotted, red rash that often spreads to the chest and abdomen and is rough to the touch (like sandpaper)
- Strawberry tongue: The tongue is initially coated white and then turns raspberry red
- Swollen lymph nodes in the neck
**Diagnosis:**
Diagnosis is made by physical examination and medical history. A throat swab may be performed to detect the presence of streptococci.
**Treatment:**
- **Antibiotics:** Penicillin or amoxicillin are the drugs of choice for the treatment of scarlet fever. Alternative antibiotics such as erythromycin can be used if you are allergic to penicillin.
- **Symptomatic treatment:** Painkillers and antipyretics to relieve symptoms.
**Prevention:**
- Good hygiene practices, such as regular hand washing and avoiding close contact with infected people.
- Infected people should stay at home Infected persons should stay at home until they have been treated with antibiotics for at least 24 hours and no longer show symptoms.
**What you need to know:**
- Scarlet fever is most common in children aged 5 to 15 years.
- If left untreated, scarlet fever can cause serious illness If left untreated, scarlet fever can lead to complications such as rheumatic fever or kidney inflammation.
**Research:**
Research on scarlet fever focuses on developing vaccines against streptococci, improving diagnostic methods and understanding the mechanisms that can lead to complications.