According to pardo & perrera (2022), this is known as the “centor criterion.”

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Emmanuella Iwebor posted Sep 22, 2022 12:12 PM
Scarlet Fever
The 10-year-old Asian patient who presents with an erythematous maculopapular rash, conjunctivitis, a mild fever of 102.1, and a strawberry tongue, presents with scarlet fever.
Scarlet fever was previously known as scarlatina. It is a bacterial illness that develops in some people because of having had strep throat pharyngitis, a family history of recurrent strep throat infection, being in crowded situations, being in direct contact with someone who has strep throat and even in unsanitary conditions. Children between the ages of 5 & 15 years old are more predisposed to this condition (Cash, Glass, & Mullen, 2021).
Assessment
To assess this child, a thorough physical examination must be performed. This examination includes inspecting the skin and conducting an ear, mouth, and throat exam. The lymph nodes and the abdomen should be palpated to make sure that both the lymph nodes and the organs aren’t enlarged. When pharyngitis is suspected, the patient’s exudates, cervical nodes, temperature, and age are used to help determine the likelihood of the presence of strep throat. According to Pardo & Perrera (2022), this is known as the “CENTOR criterion.” Performing a throat culture and the rapid strep test remains the way to test for the presence of GAS.
Differential diagnosis
The differential diagnosis for scarlet fever is measles, (rubeola), chickenpox (herpes zoster), and hand-foot-and-mouth disease (Coxsackie). This is so because they all have presentations that differentiate them from scarlet fever (Pardo & Perrera, 2022).
Treatment
Scarlet fever is treated with antibiotics. Penicillin or amoxicillin is the first-line treatment and if the patient is allergic to penicillin, they can be given cephalosporin, clindamycin, or erythromycin.
References
Cash, J.C., Glass, C.A., & Mullen, J. (2021). Family Practice Guidelines. New York: Springer Publishing
Pardo, S, & Perera T.B. (2022). Scarlet Fever. National Library of Medicine: National Center for Biotechnology Information. Treasure Island (FL): Stat Pearbcils Publishing; Available from: https://www.ncbi.nlm.nih.gov/books/NBK507889/

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