Facts about scarlet fever

The rash may feel like sandpaper and can begin on the chest or abdomen before spreading. The face may look flushed while the area around the mouth remains paler. A sore throat, swollen glands, headache, nausea, and fever can occur. Scarlet fever is a presentation of streptococcal infection; having a sore throat alone does not establish the diagnosis.

A clinician may examine the throat and decide whether testing or treatment is needed. Children are often affected, but adults can also become ill.

Arrange medical advice if a rough rash appears with fever or throat pain. Take prescribed [Antibiotic Treatment](/treatments/medical-management/antibiotic-treatment/) exactly as directed and do not share leftover medicine. Fluids, rest, and soft foods can ease discomfort. Wash hands, avoid sharing cups or towels, and keep the person away from school, nursery, or work until a clinician confirms it is appropriate to return.

Seek urgent help if there is difficulty breathing, drooling, inability to swallow fluids, severe drowsiness, rapidly worsening illness, or signs of dehydration such as very little urine. Contact a clinician promptly if fever persists, the rash spreads quickly, or symptoms return after treatment.

Ask whether the rash and throat symptoms fit scarlet fever, whether a throat test is appropriate, when school or work can safely resume, and which household contacts need advice.