Scarlet fever This image has been selected as one of the "excellent medical images" from the DocCheck expert jury.

Scarlet fever
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Strawberry tongue, also called raspberry tongue, with white coating.

The pathogens (beta-hemolytic group A streptococci) enter the pharynx via droplet infection. First symptoms appear after an incubation period of 2 to 5 days.

Characteristic of this so-called prodromal phase are:

One to two days after the purulent inflammation, a maculopapular exanthema develops, spreading from throat, neck, and back, to torso, limbs and face. A concomitant enanthema of the mucosa and a noticeable perioral pallor are observed.

With the progression of scarlet fever characteristic changes of the tongue frequently occur. First the tongue shows a whitish coating. Further on, the coating dissapears and the tongue appears swollen and intensly red ("Raspberry tongue").

Rarely, scarlet fever can develop without purulent tonsillitis in the context of impetigo contagiosa or other diseases caused by streptococci.

Source: Martin Kronawitter via wikipedia

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 - Uploaded at 07.12.2010
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