A mother brings her 9-year-old daughter to the community health clinic for a sore throat lasting for several days. The child complains of a "lump" in her throat and "soreness all over her body
" On examination, the nurse documents "white patches on the tonsils." What disease would the nurse suspect? A) Scarlet fever
B) Rheumatic fever
C) Strep
D) Roseola
C
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Streptococcal "strep" throat is common in young children older than 2 years of age. If the child complains of a "lump" in the throat rather than a sore throat, and feels "sick all over," strep is the likely cause. Scarlet fever is also known as scarlatina. Symptoms develop after an incubation period of 1 to 7 days; they include the appearance of a generalized flush or redness caused by a sandpaper-like rash of pinpoint-like red spots crowded together (macular rash). Rheumatic fever, an autoimmune reaction to GABHS, belongs to a group of diseases called collagen diseases (diseases of connective tissues). Roseola is a benign disease of infancy, with a very high fever lasting a few days, followed by a rash appearing first on the trunk and then spreading to the neck, face, and extremities when the child's temperature falls.
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