The case of T oxic shock syndrom in a pa TienT  wiTh scarleT fever

Хаертынов, Х. С.; Анохин, В. А.; abilmazhganova, lilia m.; iSmagilova, milauSha i.

doi:10.20969/vskm.2013.6(3).32-35

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“…Both miliary and hemorrhagic ones are characteristic for severe cases. 10 After the initial rash begins to resolve, a period of desquamation can occur and last up to two weeks. Typical pinpoint exanthema had late appearance (on the 4 th day of the disease) in our patient, and progressed to miliary exanthema on the base of totally reddened skin with future total complete desquamation of epidermis, confirming the severe course of his disease.…”

Section: Discussionmentioning

confidence: 99%

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Severe scarlet fever in a child with Down syndrome – a case report

Pavlyshyn

Horishna

Sarapuk

2020

Germs

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Introduction Scarlet fever is an acute infectious disease that is characterized by development of characteristic pin-point exanthema in a patient with signs of streptococcal pharyngitis and tonsillitis. Nowadays, due to effective antibacterial treatment, severe complicated cases of scarlet fever are occasionally rare. Because of immunity particularities, patients with Down syndrome are predisposed to bacterial respiratory diseases (and scarlet fever among them), that usually have prolonged complicated course. Case report A clinical case of scarlet fever in a patient with Down syndrome was analyzed. The disease had a severe course with a specific skin syndrome and was complicated by pneumonia. Hospitalization and adequate treatment of the patient led to his complete recovery despite late initiation of antibacterial medicine. Discussion A long severe complicated course of the disease in the presented case was caused by combination of the late initiation of antibacterial treatment and the patient's personal particularities of reactivity. Conclusions Patients with Down syndrome should be adequately monitored by family doctors in case of pharyngitis with early testing for group A hemolytic Streptococcus infection and administration of the correct antibacterial treatment, if the test is positive. Keywords Scarlet fever, children, Down syndrome, complications. Introduction1Scarlet fever is an acute infectious disease that is characterized by development of characteristic pin-point exanthema in a patient with signs of streptococcal pharyngitis. For many years, in the era of antibiotics the incidence of scarlet fever was declining. However, a recent increase in the number of cases has been seen.

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Section: Discussionmentioning

confidence: 99%

“…Treatment with intravenous immunoglobulin (IVIG) is recommended to patients who have severe course of scarlet fever or complicated with toxic shock syndrome because of specific antitoxic immunity absence. 10 Symptomatic treatment includes paracetamol or ibuprofen for temperature control and fluid replacement.…”

Section: Discussionmentioning

confidence: 99%