Scarlet fever, also known as scarlatina, usually begins from a Streptococcus infection in the throat. Symptoms of this infection include
- sore throat,
- headache,
- enlarged tonsils,
- fever, and
- chills.
Nausea, vomiting, and abdominal pain can accompany these symptoms. The tongue can be swollen and have a red, bumpy appearance sometimes referred to as "strawberry" tongue. A rash is also characteristic of scarlet fever. It usually begins as small, flat red areas on the skin and can develop into small, bumpy red areas. It usually begins on the chest and trunk and extends to the arms and legs, but the palms and soles of the feet are usually spared. The rash has been described as feeling like sandpaper. Skin creases (groin, elbows, underarms) may appear more reddened. The skin can start to peel as the rash fades.
Causes of scarlet fever
Scarlet fever is caused by an infection with toxin-producing group A Streptococcus bacteria.
Other scarlet fever symptoms and signs
- Abdominal Pain
- Bumpy Tongue
- Dysphagia
- Enlarged Lymph Nodes in the Neck
- Enlarged or Swollen Tonsils
- Fatigue
- Fever
- Headache
- Malaise
- Nausea
- Rash
- Red Lines or Streaks in Skin Folds
- Red Spots (Petechiae) in Mouth
- Reddened Skin Creases
- Reddened Tongue
- Skin Peeling
- Sore Throat
- Swollen Tongue
- Vomiting
- Yellow-White Coating (Pus) on Tonsils
Main Article on Scarlet Fever Symptoms and Signs

SLIDESHOW
Bacterial Infections 101: Types, Symptoms, and Treatments See SlideshowPictures, Images, Illustrations & Quizzes
-
Childhood Diseases: Measles, Mumps, & More
Is your child at risk for these childhood diseases? Know what to look for and when to call the doctor for conditions such as...
-
Common Childhood Skin Disorders
What are the most common skin rashes in children? Learn about childhood eczema, ring worm, chicken pox and more. Get the facts on...
-
Picture of Scarlet Fever
Desquamation of the hands, feet, elbows, and knees occurs during healing. See a picture of Scarlet Fever and learn more about...
-
Picture of Strep Throat
Strep infection often produces a distinct pattern of white patches in the throat and on the tonsils, as well as red swollen...
-
Sore Throat or Strep Throat? How to Tell the Difference
Is this a sore throat or could it be strep throat? Your medical care depends on knowing if you have a viral infection or a...
Examples of Medications for Scarlet Fever Symptoms and Signs
From 
Infectious Disease Resources
Health Solutions From Our Sponsors
Subscribe to MedicineNet's General Health Newsletter
By clicking Submit, I agree to the MedicineNet's Terms & Conditions & Privacy Policy and understand that I may opt out of MedicineNet's subscriptions at any time.