Scarlet fever is caused by bacteria called group A streptococci. These bacteria also cause other respiratory and skin infections such as strep throat and impetigo.
In very rare occasions, the bacteria can get into the bloodstream and cause an illness called invasive Group A strep (iGAS). While still uncommon, there has been an increase in invasive Group A strep cases this year, particularly in children under 10.
Scarlet fever is much more common in children than in adults and it is important that children with scarlet fever are seen by their GP so that they can be started on antibiotics
The rash of scarlet fever often begins with small spots on the body that then spread to the neck, arms and legs over the next 1-2 days. It is often ‘sand-paper’ like to touch but is not itchy.
Your child may also have a:
- Sore throat/tonsillitis
- Fever (temperature of 38°C (100.4°F) or above)
- Painful, swollen glands in the neck
- A red tongue (strawberry tongue)
There is guidance on the website below about when parents/ carers should worry, when its appropriate to go straight to A&E, when to call the GP surgery / call 111 and when self care is best.