Discussion Response: Case Study 7 – Scarlet Fever

Discussion Response: Case Study 7 – Scarlet Fever: 1 paragraph response to each case study discussion post with 1 reference each…

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Discussion Response: Case Study 7 – Scarlet Fever

Instruction

1 paragraph response to each case study discussion post with 1 reference each.

Solution

Response One

Hi Kristen,

I like how you argue out different symptoms to get to the patient’s condition. Also, I agree that the patient presents symptoms associated with scarlet fever. Specifically, the patient has a sore throat, rashes, skin with a sandpaper feel, swollen glands, high fever, headache, and bright red appearance on underarms and elbows, which are vital symptoms of scarlet fever.

While I had not considered strep throat, Streptococcal pharyngitis, I agree that the patient presents the same symptoms. Strep throat is associated with high fever, red tonsils, enlarged lymph nodes in the neck, and sore throat.

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In this regard, both conditions have similar symptoms. However, one may rule out the condition because the patient did not report pain while swallowing, nausea or vomiting, throat pain, and tiny spots at the back of the mouth, which are essential in the differential diagnosis (Demore et al., 2018). In this regard, I think the most accurate diagnosis is scarlet fever.

I am looking forward to more of your posts.

Regards.

Reference

  • Demoré, B., Tebano, G., Gravoulet, J., Wilcke, C., Ruspini, E., Birgé, J., Boivin, J., Hénard, S., Dieterling, A., Munerol, L., Husson, J., Rabaud, C., Pulcini, C., & Malblanc, S. (2018). Rapid antigen test use for the management of Group A streptococcal pharyngitis in community pharmacies. European Journal of Clinical Microbiology & Infectious Diseases, 37(9), 1637-1645. https://doi.org/10.1007/s10096-018-3293-8

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Response Two.

Hi Jessica,

Your post is informative. I agree that the patient suffers from Scarlet fever pharyngitis. The vital symptoms that confirm the diagnosis are the presence of erythematous papules that are sandpaper-like, rash on her body, swollen glands, sore throat, and red skin on the elbows, underarms, and groin areas. Also, the patient has a strawberry tongue which is a common sign of the condition. The patient is six years old, increasing her risk of the condition.

Additionally, I agree that the patient should take a break from school and other activities to rest. Staying away from other children would also reduce spreading the infection. Cordery et al. (2021) highlight that scarlet fever pharyngitis spreads through direct contact with the patient, primarily through saliva or the infected person’s nasal secretions.

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I am looking forward to more of your posts.

Regards.

Reference

  • Cordery, R., Purba, A. K., Begum, L., Mills, E., Mosavie, M., Vieira, A., Jauneikaite, E., Leung, R. C., Siggins, M. K., Ready, D., Hoffman, P., Lamagni, T., & Sriskandan, S. (2021). Frequency of transmission, asymptomatic shedding, and airborne spread of streptococcus pyogenes among schoolchildren exposed to scarlet fever: A longitudinal multi-cohort molecular epidemiology contact tracing study. https://doi.org/10.1101/2021.07.04.21259990

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Regards,

Cathy, CS.