Roseola - an acute viral infection of children caused by a particular virus. It manifested in the three-day fever without any other symptoms, and after normalization of temperature, there is a rash similar to rubella.
Roseola proceeds favorably, and virtually no complications.
Causes
Roseola or sudden rash is caused by the sixth type of herpes virus that affects children between the ages of six months to 3-4 years. Most often sick children for about a year.
In children older than five years roseola practically does not occur. Previously, she was often mistaken for symptoms of rubella, and therefore in the future has not been a complete vaccination of children against measles.
Roseola is often not diagnosed as a disease, it is taken for other childhood infections, but most of it are regarded as an allergic rash on medicines.
Photo: site of the Department of dermatology Tomsk Military Medical Institute
symptoms of roseola
Roseola begins with sharp temperature rise, sometimes up to 39 degrees and higher. In this case, in addition to fever, no symptoms. Often fever is associated not with an infection and a
teethingWhich just goes active at this age.fever with roseola is a feature of its duration - it is almost not declining, holding 3 days, there is little response to antipyretics. By the fourth day it disease dramatically reduced to normal values, and almost simultaneously with the temperature normalization occurs manifestation of skin rash.
Rash pale pink with spots of sizes up to 3-5mm, some spots are surrounded by a pale rim. The rash spreads from the back to the abdomen and chest. Hands, feet and face are free from rashes.
Hold the rash is not more than two days, disappearing without a trace, can rarely be peeling. Only rarely fever without rash viral changes in the blood picture. When manifestations of fever and rash, children may be sleepy, whimsical, eat worse.
Diagnostics
Accurate diagnosis is rare, because the disease although rare, but usually is not exposed.
Differential diagnosis includes rubella and allergiesAs the rash is very similar in appearance, and in three days of feverish period children usually give a lot of drugs that could provoke allergies. In addition, antiallergic drugs when receiving rash "passes". They consider additional evidence, although she would have gone anyway.
Distinctive features of roseola from all other diseases:
- rash appears after three days of fever, just on the background of decrease of temperature,
- rash does not itch,
- rash does not happen on the face.
Blood tests at roseola do not give information about the exact cause of the disease, but the virus can be detected lesions on them - lymphocytosis without shifting of the formula.
roseola treatment
Roseola treatment has been a pediatrician, treating children at home, in most cases, hospitalization is not required, the principles of general treatment SARS.
It is necessary to increase the amount of fluid intake in the form of warm drinks - tea with lemon, broth of lime blossom, chamomile tea. At high fever Antipyretic shown (paracetamol or Nurofen), wiping with a damp sponge, lightweight clothing.
If you have any background in the heat of febrile convulsions requires calling an ambulance.
Showing vitamins, antiviral therapy in the form of candles with viferonom, interferon nasal drops, suppositories viburkol. When the rash no additional medications are required.
Complications and prognosis
The main complication of roseola on the background can be febrile convulsions due to the high temperatures that occur in children under three years. It can also be in the form of microbial complications otitis, pneumonia or bronchitis due to lower immunity.
On average, roseola like 5-7 days without specific treatment measures. Weather favorable, immunity is lifelong, children older than 5 years, almost do not get sick roseola.
