Objective: To analyze the clinical features of scarlet fever in children. Methods: The medical rec-ords of 113 cases with fever and erythema that had been confirmed scarlet fever by bacterial culture of throat swab were analyzed retrospectively. Results: In total, 113 cases of scarlet fever in children with etiological diagnosis were analyzed, including 70 males and 43 females. Age distribution ranged from 1 to 12 years, including 88 cases (77.9%) of 4 - 7 years old group. 90 cases (79.6%) have fever. All have erythema and 73 cases (64.6%) with the typical congestive chicken- skin miliary erythema. 83 cases (73.4%) have obviously congestion on oral mucosa; 14 cases (12.4%) have cicumoral pallor and 20 cases (17.7%) have Pastia’s lines. 103 cases (91.2%) have erythema at trunk. 14 cases of primary diagnosis have scarlet fever. There is no severe complication in all cases. Conclusions: The high risk populations of scarlet fever are pre-school and school children. The clinical symptoms tend to slightly and atypical. There are no rapid laboratory methods to diagnose, and hardly to diagnose and treat early. Obviously congestion on oral mucosa is an early clinical manifestation of scarlet fever except for typical erythema, and should be intensely researched.
Lin, M.H., Fong, W.K., Chang, P.F., et al. (2003) Predictive Value of Clinical Features in Differentiating Group A Beta-Hemolytic Streptococcal Pharyngitis in Children. Journal of Microbiology, Immunology and Infection, 36, 21-25.