INFECTIOUS DISEASES : RUBELLA SCARLATINA (ILLNESS FILATOV-DYUKS, FOURTH DISEASE) (RUBEOLA SCARLATINOSA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. The causative agent is not known, but on the basis of epidemiological, immunological and clinical data differs from that of the causative agent of scarlet fever. For volatility and instability close to the virus corevideo rubella.
Epidemiology is the same as when corevideo rubella. Both these forms do not provide mutual immunity and are completely independent.
The pathogenesis is not known and, apparently, close to the pathogenesis of rubella.
Symptoms. Minor reaction temperature is 38 to 38.5 ° ), slight conjunctivitis, punctuate enanthema the soft palate (without hemorrhages), small diffuse redness of the tonsils, swollen occipital glands and polident, finely spotted rash beginning on the neck, passing over the face, scalp, torso and limbs.
For. Incubation of from 9 to 21 days. When subfebrile temperature complaints of aching neck muscles and irritation of the conjunctiva. The overall health of the children, the adults are somewhat worse. Glands and rashes as described above. It is important to have rashes on nasolabial triangle, scalp and lack of overall redness of the skin. The rash elements do not protrude above the skin. The temperature of the reaction lasts 1 to 2 days. After 4 - 5 days the rash disappears without subsequent peeling.
Recognition is made on the basis of clinical symptoms. It is very difficult to differentsirovat erased from the form of scarlet fever (see scarlet fever). In cases raising doubts about the diagnosis, and if there scarlatinous epidemic, correct to bow down to scarlet fever.
Patients are isolated only from the institution for children (detention centres). The deadline is 10 days after the fall of temperature. Adjoined are not allowed in children's institutions 14 days (to keep track of the mouth and skin).
Bed contents during the febrile period, without medication.