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Scarlet fever, also known as scarlatina, is an infectious disease caused by Streptococcus pyogenes, a Group A streptococcus (GAS). [3] It most commonly affects children between five and 15 years of age. [1] The signs and symptoms include a sore throat, fever, headache, swollen lymph nodes, and a characteristic rash. [1]
The UK Health Security Agency (UKHSA) said that an average of 2,861 (range 479 to 5,051) of scarlet fever were recorded during the same period over the past 5 years. [3] The following table shows the number of notifications of iGAS and scarlet fever published by data from the UKHSA from 12 September to 18 June. [3]
In the UK, scarlet fever was considered benign for two centuries, but fatal epidemics were seen in the 1700s. [56] Scarlet fever broke out in England in the 19th century and was responsible for an enormous number of deaths in the 60-year period from 1825 to 1885; decades that followed had lower levels of annual mortality from scarlet fever. [52]
Scarlet fever is also a non-invasive infection caused by GAS, although much less common. The invasive infections caused by Group A β-hemolytic streptococcus tend to be more severe and less common. These occurs when the bacterium is able to infect areas where bacteria are not usually found, such as blood and organs. [8]
[9] [10] Common symptoms include fever, sore throat, red tonsils, and enlarged lymph nodes in the front of the neck. A headache and nausea or vomiting may also occur. [11] Some develop a sandpaper-like rash which is known as scarlet fever. [2] Symptoms typically begin one to three days after exposure and last seven to ten days. [2] [3] [11]
The first stage of scarlet fever is typically strep throat (streptococcal pharyngitis) characterized by sore throat, fever, headache and sometimes nausea and vomiting. In two to three days, this is followed by the appearance of a diffuse erythematous rash that has a sandpaper texture.
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West Nile Virus: West Nile Virus: Yellow fever: Yellow fever: Yellow fever: Yellow fever: Yellow fever: Yellow fever: Viral haemorrhagic fever: Viral hemorrhagic fever: Viral hemorrhagic fever: Viral haemorrhagic fever, including Lassa fever, Marburg virus, and Ebola virus: Viral hemorrhagic fever