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A case report of scarlet fever: An uncommon diagnosis for fever and rash

P. S. M. J. U. Samarakoon iD, S. Ganesan iD, R. K. C. N. Senarathne iD, N. S. Chandrasiri iD

Sri Lankan Journal of Infectious Diseases 12(2) · 2022

https://doi.org/10.4038/sljid.v12i2.8468

Abstract

Streptococcus pyogenes is a pathogen capable of causing a wide spectrum of diseases including pharyngitis and streptococcal toxic shock syndrome, with a range of complications and outcomes. Even though it is not an uncommon pathogen, reports of scarlet fever are scarce in Sri Lanka. We describe a case of scarlet fever in a seven-year-old boy with typical features. The child presented with high fever, body aches, vomiting, loss of appetite and a rash and developed pharyngitis and a strawberry tongue during the ward stay. A pure growth of group A Streptococcus was isolated from a throat swab taken on admission. He improved with appropriate treatment and recovered without complications. The importance of throat swab culture and clinical correlation is illustrated in this case report.

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