Strep Throat - Scarlet Fever

What are they?

Strep throat and scarlet fever are infections caused by Group A Streptococcus bacteria. The infections are more common in children than in adults. Strep throat is a throat infection that can develop into scarlet fever. Children who have scarlet fever are generally not any sicker than children with strep throat who do not have the rash.

What are the symptoms?

Individuals with strep throat may have a fever, sore throat, headache, and stomachache. The glands of the neck may be swollen, and appetite may be decreased. Strep throat is much less likely if there is a runny nose, cough, and congestion.

Scarlet fever may also start with a sore throat, fever, and swollen neck glands. This is followed by a fine red rash that makes the skin feel like sandpaper (you can often feel the rash easier than you can see it.) The rash usually appears on the chest and abdomen and is more prominent in the armpits and groin areas.

How is it spread?

Strep throat and scarlet fever are spread through secretions from the nose and mouth of an infected person, usually through coughing and sneezing. The time from exposure to the bacteria and to developing illness is two to five days.  The risk of spread is reduced when a person who is ill with strep throat is treated with antibiotics.

How are strep throat and scarlet fever treated?

If a strep infection is confirmed, a doctor can treat strep throat and scarlet fever with antibiotics, usually penicillin. If your child attends school or daycare, they should not return until antibiotic treatment has been taken for 24 hours.    

What can I do about it?

Hand washing is always an important way to prevent the spread of any infection, including strep throat and scarlet fever. Cover your coughs and sneezes.

See your doctor if you have a fever and sore throat that lasts more that 24 hours, swollen neck glands, and/or a rash.

For more information, call KFL&A Public Health at 613-549-1232 or 1-800-267-7875, ext. 2300.