Rash in three-day fever

General

In three-day fever, which is also synonymous as Exanthema subitum, Roseola infantum or older is called the Sixth Disease, it is one of the classic childhood diseases of the first two years of life. Almost all children in their third year of life have got the disease behind them or at least carry the pathogen. The disease can be recognized by the typical rash on the skin.

causes

The three day fever is one acute illness of the baby and is through a virus caused to the group of Herpes viruses belonging HHV-6, isolated HHV-7. A typical feature of herpes viruses is the fact that they remain inactive in the body of the healthy after illness. So it happens that the transmission to the baby by healthy adults or children occurs via saliva or so-called droplet infections, such as when sneezing.

How does a rash develop?

A Rash on the skin, medical Rash, occurs in many different diseases and can have different degrees, causes and meanings. It is as Response to external or internal stimuli to see that allergic or inflammatory is conditional.
A rash has several forms. Besides the Redness can additionally Blisters, pustules, wheals, or flaking occur. A common symptom is a pronounced itching. The spread on the body varies greatly. Small, circumscribed skin areas can be affected or the entire surface of the body. The redness of the skin also depends on the cause of the rash. Spotty points or extensive reddening with all facets in between are conceivable. A rash can often be assigned to the causal disease.

What does the rash look like with a three-day fever?

The rash that occurs with three-day fever is typical and one of the most important diagnostic criteria. He kicks after the fever has dropped on. A typical feature of the rash is that quick emergenceso that the baby shows significant changes within hours. First show up red, small areas of redness on the chest, stomach and neck. these can get bigger and partly mergewhat is technically called confluent. In some cases, the rash then spreads further on arms and legs out.
At the height of the rash, which after 2-3 days again disappears quickly, almost the whole body can be covered with red spots. Appearances in Faces are rather rare.
A itching exists in three-day fever usually not. In some places you can feel minimal protrusions, i.e. protrusions of the skin over the rash that can be felt with the finger.

Rash on the head

The rash in three-day fever is typically stressed on the trunk of the body. However, it can also spread to the neck and from there to the head. Because the rash on the head no typical localization if there is a fever for three days, further differential diagnoses must be considered. Since children up to the age of 3 are particularly affected by three-day fever, the rash must e.g. of simple Cradle cap or other teething problems like measles or chicken pox delimited become.

Rash on the face

The rash in three-day fever usually spreads mainly to the Neck area, belly and Chest area from and with increasing time of the disease also on the extremities, that is poor and legs, and the move.
It's in the face rather seldom to be found. Nevertheless, there are always children in whom the rash is not limited to the rest of the body. If the rash is on the face, one can only hope that at least it won't itch, otherwise scars can very easily remain when scratching.

Rash on the legs

In rare cases, the rash in three-day fever can also spread to the arms and legs. Since this is not a typical localization, some other serious clinical pictures must be excluded. First of all, other childhood diseases come into question, which more often lead to a rash on the legs, such as Measles, rubella, rubella, or chicken pox.

The extensor sides of the legs are also a typical localization of Henoch-Schönlein purpura, meaning the smallest capillary bleeding in the skin. It usually occurs after an infection of the upper respiratory tract. A very serious clinical picture in which purpura and punctiform bleeding (Petechiae) Waterhouse-Friderichsen syndrome can occur in the course of bacterial meningitis (meningitis).

Itchy rash

Usually goes with that Rash of Three-day fever no itching. Nevertheless, children repeatedly complain that the reddish rash is itchy. Plus, the rash is too sublime. This means that you can feel it when you run your hand or finger over it.

Often the small children then start to scratch and sometimes even scratch scar stay. Against the itching there is Creams and Tinctureswhich you can apply to alleviate the discomfort. Usually this is enough herbal or homeopathic Medicines from.
But there are also creams such as Eucerin® or Schaebens Derma Forte Itching Cream®, which fight itch well.

But you should always have one Doctor or pharmacist ask before giving your child a cream on your own. Usually the rash or itchiness will go away as quickly as it came. This means that you often don't even manage to get the right creams or tinctures because the symptoms have already disappeared.

Diagnosis

Recognizing three-day fever in a baby is what happens first and foremost about the clinic, that is, of too observational symptom complex leads to the solution: the typical rapid rise in fever, the appropriate age up to 2 years and especially the one that follows it classic rash, which follows the fever drop.

A rash in the baby against diseases such as chickenpox, measles, rubella or allergic occurrences. Skin irritations caused by medication are also frequent.
For one thing is the lack of itching an indication that occurs with most other skin rashes. This is also typical for three-day fever rash that occurs after the body temperature dropswhich, in contrast, is e.g. developed parallel to fever in measles. Finally, the chronological order of appearance on different skin regions is important. The rash in three-day fever extends first on the torso and then on to the arms and legs (extremities). Rubella and measles show a reverse sequence.

There is also the possibility of the body's own defense proteins, so-called Antibodies to determine in the blood. Of course, other suspected diseases must be ruled out by a doctor.

therapy

The three-day fever caused by a virus, so Antibiotics don't work.
As a therapy are therefore in the first place symptomatic measures in the foreground and not combating the cause.
This includes in general antipyretic measures such as. thin clothing or leg wraps. Also antipyretic drugs such as. Fever suppositories or Feverish juice can be used.
In any case, a doctor should be consulted before administering any medication!
Currently exists no possibility of vaccination.
Care should be taken to ensure that other babies and toddlers do not come into contact with sick babies, as there is a high risk of infection here.

A Treatment targeting the rash is not currently available, but would also have no effect on the course or the prognosis of three-day fever.Since the rash is a crucial criterion for the doctor to diagnose, treatment would not necessarily be recommended.

homeopathy

It is recommended, especially against the high fever and rash, Aconitum napellus to give. This is a homeopathic medicine, which is obtained from the blue monkshood. Monkshood is, if it has not been processed and diluted homeopathically, very poisonus.

The symptoms to give this remedy are besides great Fear and restlessness also Inflammation, high fever, burning and hot skin through the rash and especially thirsty. All of this can go hand in hand with the high fever and is thus somewhat relieved.

Aconitum napellus is one of the strongest means in the homeopathy and is often used when the symptoms appear very quickly and with high intensity.

Likewise is the gift of Belladonna recommended. This is a homeopathic medicine which is obtained from the deadly nightshade. This plant is also without adequate dilution very poisonus. Belladonna is also mainly given when the fever is high and the disease is developing quickly.
Ferrum phosphoricum is also recommended, but more likely if the disease is progressing slowly and the fever does not rise so acutely and the child does not feel extremely sick.

How long has the rash persisted?

The rash, which is why the three-day fever is also known as exanthema subitum (sudden rash), occurs very quickly after defrosting. The rash is finely spotted and localized mainly in the neck and over the trunk of the body. The spots are sometimes slightly raised and usually easy to distinguish from one another. The rash in three-day fever is volatile and usually disappears within three days just as quickly as it occurred. Fever and a rash that occurs at the same time is always a Warning sign for serious illnesses such as meningitis. This constellation requires further clarification by the pediatrician.

forecast

Although the rash described may look dangerous to many parents, it is not harmful to the baby's health. Rather, it is a Signs that the disease is in the fading phase and the Got over fever is.

In a not uncommon number of cases, the three-day fever occurs without the baby developing the typical complexion. Here one speaks of the abortive form.
In addition to this harmless form, it can also Febrile seizurescaused by the rapid rise in temperature and harmless are, and in rare cases too Complications how Gastrointestinal complaints, to cough and sniff come.
You should always consult a doctor for further clarification, also because the pediatrician would like to be informed about a high fever in the first few years.

The forecast for a baby suffering from three-day fever is very good. Most of the time the disease runs harmless from and disappears spontaneously after a short time, so that the baby recovers quickly. Often there are weakened forms that the parents do not notice. The febrile seizures leave no harm either. Complications are very rare.

Healthy adults do not get three-day fever. People under more aggressive that immune system debilitating therapy such as one chemotherapy however, the virus can harm.

How contagious is the three-day fever?

The Three-day fever (Exanthema subitum) is highly contagious. The Viruses, (HHV-6 and HHV-7), which come from the herpes virus family, are transmitted from person to person via droplet infection. Droplet infection means that you can get the virus through Sneeze, to cough or Speak and Kiss can transfer to another person.
You can actually feel safe from infection hardly protect, as there is no vaccination or other prophylactic drugs.

Especially when the children are in kindergarten or elementary school, they can no longer be protected from infection, as children put everything in their mouths and are very close when they play. Especially Adults Have often to coughif they suffer from the disease and can spread the virus very easily. Once you have the viruses in your body, they stay there for life and you are always protected.

The fact that the pathogen remains in the body for life also has a disadvantage: You can still infect other people years later. This is also the reason why children are repeatedly infected by their mothers without the second having acute symptoms of the disease. However, it is not mandatoryEven if the disease is easily transmitted to children, too isolate.

However, there are certain points to stick to. It should be out of contact too pregnant women Be distanced, you should also keep yourself or the children away from people whose immune system is very bad, for example by a chemotherapy or other diseases. It is also advisable to keep your distance from very old people and infants. Since many children feel very sick, they will stay at home in the phase of the illness anyway and can rest there in a safe environment. This is very importantso as not to strain the small body too much.

Can I bathe my child with a rash?

The rash in three-day fever occurs after defever. The children are much fitter by this time. In principle nothing speaks against it bathing the child or baby with a rash. Since the skin can be even more sensitive, should gentle shower gels be used. The child should not stay in the water for too long either, as there is then the risk of cooling down and a cold can join the three-day fever.