Roseola

Medical Author:
Medical Editor:

What is roseola?

Roseola is a mild illness caused by a virus infection. Roseola has a sudden onset and short duration, and it most commonly affects young children. Roseola is most common in children 6 to 24 months of age. The average age at onset is around 9 months. Less frequently, older children, teens, and (rarely) adults may be infected.

What virus causes roseola?

Roseola is primarily caused by a virus called human herpesvirus 6 (HHV-6) and less commonly by human herpesvirus 7 (HHV-7).

How is roseola spread?

Roseola is spread from person to person, most likely by transfer of oral secretions. Roseola is not very contagious. The incubation period between exposure to the virus and onset of symptoms is nine to 10 days. Humans are the only natural hosts for HHV-6 and HHV-7. Unlike other viral infections, roseola occurs throughout the year without seasonal variation.

What are roseola symptoms and signs?

The signs and symptoms of HHV-6 (or HHV-7) infection vary depending upon the age of the patient. Infants and toddlers routinely will develop sudden symptoms with a sudden onset of a high fever that lasts for three to five days, irritability, bulging "soft spot" on the head (fontanel), swollen glands in the front or back of the neck, runny nose, puffy eyelids (due to swelling with fluid), and mild diarrhea. Within 12-24 hours of the fever breaking, a rash rapidly appears. Older children who develop HHV-6 (or HHV-7) infection are more likely to have an illness characterized by several days of high fever and possibly a runny nose and/or diarrhea. Older children less commonly develop a rash as the fever abates.



Patient Comments

Viewers share their comments

Roseola - Symptoms Question: What were the symptoms you experienced with roseola?
Roseola - Seizure Question: If your child had a seizure with roseola, how did you react? Describe your experience.
Roseola - Rash Question: Describe the appearance and timing of the rash when your child had roseola.
Roseola - Doctor Question: What was it about your child's illness that prompted you to consult a doctor? Did you suspect roseola?
Roseola - Describe Your Experience Question: Please describe your experience with roseola.

Roseola Rash

Is there a rash with roseola?

Yes, but not in the beginning. When the fever disappears, a rash appears. The rash is mainly located on the neck and torso (the abdomen, trunk, and back), but it can also be on the arms and legs (extremities).

The rash appears as separate little raised dots (papules) or as a flat (macular) rash. The skin is mildly red in color and temporarily blanches with pressure. The rash is not itchy or painful. It is not contagious. The rash lasts two to four days and does not return.


Get the latest health and medical information delivered direct to your inbox FREE!