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China - Increase of scarlet fever reported by a hospital in Hunan province & the health department in Guangdong province - April 2025

sharon sanders

Editor-in-Chief & President
1542 confirmed cases in one place! The whole body is "like goose bumps", fever is highly contagious, and some patients have even had blood in their urine

2025-04-20 11:26Source: Anhui Traffic Radio


  High fever, sore throat, rash all over the body...Recently, the Children's Medical Center of the First Affiliated Hospital of Hunan University of Chinese Medicine has admitted many "little red people". What diseases do these children have?
  The number of children with scarlet fever has increased recently
  Beware of atypical "hidden symptoms"
  On April 17, Hu Yan, deputy director of the Children's Medical Center of the First Affiliated Hospital of Hunan University of Chinese Medicine, said that the number of children with scarlet fever seen in the hospital's pediatric outpatient and emergency departments has increased recently. "This spring in the south is relatively dry, which is conducive to the survival and spread of group A hemolytic streptococci."
  On April 14, the Guangdong Provincial Department of Disease Control and Prevention announced an overview of the province's statutory infectious disease epidemic situation in March 2025. Among them, the number of scarlet fever cases reported in Guangdong Province in March was 1,542, an increase of 641 cases from February.
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  Screenshot of part of the statistics table of reported incidence and mortality of statutory infectious diseases in Guangdong Province in March 2025
  Fever, sore throat, rash, peeling...
  Beware of these symptoms of scarlet fever
  Scarlet fever is an acute respiratory infectious disease caused by group A beta-hemolytic streptococcus infection. It is highly contagious and is a Class B infectious disease as stipulated by the state. The general population is susceptible to it, with children in childcare and school-age children being the most susceptible age groups.
  Patients and asymptomatic carriers are the main sources of infection. The disease is mainly transmitted through respiratory droplets and contact with objects, hands, food, etc. contaminated by pathogens, and can also be transmitted through damaged skin.
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  "The symptoms of scarlet fever can easily be confused with other diseases. Parents should be vigilant and take their children to the doctor in time." Hu Yan introduced that the initial symptoms of scarlet fever are similar to those of influenza. Some parents will give their children antipyretics or antibiotics on their own, which in turn conceals the true condition and delays the doctor's diagnosis.
  Not long ago, a netizen posted on social media that a child developed a fever after being infected with scarlet fever, and had a rash all over his body "like goose bumps", and his hands also had peeling.
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  The picture shows a screenshot of the social media platform
  In February this year, the dermatology clinic of Shanghai Children's Medical Center also received a child with entire piece of epidermis peeling off on his fingertips. The parents suspected that it was caused by a lack of trace elements.
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  After asking about the child's medical history, the doctor found that the child had a fever a week ago, accompanied by sore throat, and improved after taking cephalosporin. However, after physical examination, the doctor found that the child's throat was still red and swollen, bilateral tonsils were enlarged, and the skin was a little dry. It was finally confirmed to be scarlet fever. Urinalysis showed that the child's kidneys were affected at this time and hematuria occurred.
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  Another more severe and typical case of flaky desquamation on the hands of a child in the late stage of scarlet fever↑
  What symptoms usually occur after being infected with scarlet fever? ↓↓↓
  fever
  Fever is the first symptom of scarlet fever, which is mostly low-grade fever, but some children may have a temperature as high as 39℃~40℃, accompanied by chills.
  Pharyngitis
  Symptoms include inflammation and suppuration of the pharyngeal tonsils.
  rash
  Rash is also one of the important symptoms of scarlet fever. It usually appears on the second day of onset, spreading from behind the ears, neck, upper chest to the whole body, and fades when pressed. The rash will disappear in about a week, and peeling will occur at the same time.
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  Strawberry tongue, bayberry tongue
  The child's tongue will appear strawberry-like or bayberry-like.
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  What should I do if I get scarlet fever?
  Doctor: Need to be isolated
  Chen Tianming, chief physician of the Department of Infectious Diseases at Beijing Children's Hospital, reminds us that the streptococcal infection that causes scarlet fever can cause invasive infection, which can invade the blood and tissues and cause more serious complications.
  Therefore, if a child shows suspected symptoms of scarlet fever, he or she should seek medical attention as soon as possible, take antibiotics under the doctor's guidance, get more rest and drink more water, and be isolated as a respiratory infectious disease.
  Scarlet fever is highly contagious, and children with it need to be isolated for about 6 days. Adults can also be infected with the disease, but they will not show typical scarlet fever, but may be in a state of throat bacteria, and they also need to be treated with antibiotics.
  No effective vaccine yet
  How to prevent scarlet fever?
  Currently, there is no vaccine to prevent scarlet fever, but we still need to enhance hygiene awareness and take active preventive measures.
  Parents should educate their children to develop good hygiene habits, and wash their hands carefully after coughing or sneezing, before eating, and after going out and returning home.
  Managing the source of infection
  If a child is diagnosed with scarlet fever, he or she should avoid going to school and seek medical treatment in time. Utensils contaminated by the patient can be boiled for disinfection, furniture and desks should be wiped and disinfected with disinfectant, and items that cannot be scrubbed should be exposed outdoors for 1-2 hours.
  Cut off the transmission route
  During the peak period of scarlet fever, you should try to avoid taking your children to crowded and poorly ventilated places. If you really need to go, please wear a mask.
  Improve immunity
  Improve your child's immunity through proper outdoor exercise, a balanced diet and adequate sleep.
  Some symptoms of scarlet fever are similar to those of influenza and are easily confused. Once a child develops symptoms such as fever, sore throat, or rash, do not give him or her antibiotics or antipyretics on your own. He or she should seek medical attention as soon as possible for a correct diagnosis. During treatment, you must strictly follow the doctor's orders and do not stop taking the medicine without authorization to prevent the bacteria from developing drug resistance and affecting the treatment results.
  Integrated National Emergency Broadcasting, Shanghai Children's Medical Center



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