Scarlet Fever

Key

A – the Scarlet Pimpernel – Scarlet Fever
B – Sanding machine – Erythematous sandpaper rash is typical
C – Anvil causing a headache
D – Although some cases of blindness have been attributed to Scarlet Fever, there are NO EYE SIGNS in Scarlet Fever (I have coloured them luminous green which doesn’t look like conjunctivitis you might find in Kawasaki)
E – Thermometer showing fever, often the first sign of illness – tends to peak on day 2 and subside by day 5-7
F – This illustration of a red neck is a reminder that the typical sandpaper rash tends to start on the neck before extending to the trunk and extremities
G – The Scarlet Pimpernel is lethargic and wants to sleep on the pillow behind his head – lethargy
H – He is wearing a strap – The most common cause of Scarlet fever is streptococcus
I – He is carrying a staff – Remember Staphylococcal Scarlet fever which does not feature the enanthem (spots on mucous membranes)
J –
K – There is a bucket for vomiting – vomiting is a relatively common feature
L – Strawberries on the shelf – Strawberry tongue is a classic feature – white coating on tongue with red papillae protruding through

NB – tender anterior cervical lymphadenopathy and tonsillitis may or may not be present depending on where the infection originated