Scarlet Fever - Treatment

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What is the treatment for scarlet fever?

The treatment for scarlet fever is antibiotics that are effective against GABHS. Usually about 10 days of an oral penicillin medication (for example, amoxicillin) is effective early treatment. Rarely, some patients may need to be treated with a single injection of penicillin G benzathine (Bicillin L-A). This is most commonly indicated for a patient who is unable to retain oral antibiotics. Other effective antibiotics are members of the cephalosporin family (for example, cephalexin [Keflex]). IA recent outbreak in China showed GABHS resistance to the common antibiotics used to treat scarlet fever. Antibiotics may prevent complications of scarlet fever such as rheumatic fever.

Return to Scarlet Fever (Scarlatina)

See what others are saying

Comment from: Ali, 3-6 Female (Caregiver) Published: February 06

For scarlet fever my daughter received amoxicillin.

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Comment from: MikeG, 13-18 Female (Caregiver) Published: January 08

My 14 year old daughter manifested rash for a couple days before we got her to the doctor (thought it was contact dermatitis at first). The doctor prescribed Z-Pak (azithromycin) for scarlet fever, empirically based on appearance of rash. They used ibuprofen for fever, Benadryl to help with itchy sensations as well as some sinus drainage, pseudoephedrine for sinuses as well. Low grade fever subsided by the end of day 2 of treatment, she had still some queasiness on day 3, and was back to school on day 4. Rash actually appeared to spread/accentuate for a couple days after start of treatment. If I understand correctly, this article states rash could persist for quite some time after the 5 day treatment ends.

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