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VIII.123 - Scarlet Fever

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Scarlet fever is an acute infectious disease, caused by certain types of group A hemolytic streptococci. The disease is characterized by sudden onset of soreness on swallowing, with fever and headache. A rash appears within 2 days of onset, and desquamation follows.

The term “scarlet fever” was supposedly first used by Thomas Sydenham in 1683, but it appeared in a diary of Samuel Pepys in an entry for November 10, 1664. From the seventeenth to the early twentieth century, the word scarlatina was popularly used to denote a mild form of the disease.

Distribution and Incidence

Like the streptococcal sore throat to which it is closely related, scarlet fever is a disease of temperate climates, prevailing generally in the winter months. It occurs principally in young children, although adults may suffer sore throats as a result of the same infection.

Etiology and Epidemiology

The group A hemolytic streptococci are responsible for a range of afflictions other than scarlet fever, including erysipelas, rheumatic fever, and the sore throats known as tonsillitis in Great Britain and as pharyngitis in the United States. Scarlet fever is caused only by certain strains that produce (or release) a soluble toxin, whose absorption causes the rash characteristic of the disease. Different strains of streptococci produce different amounts of toxin. Epidemics thus vary greatly in severity, with mortality rates ranging from 0 to 30 percent. Transmission of the infection is by intimate contact, such as occurs in overcrowded homes and classrooms, and evidence of airborne or droplet nuclei infection is slight

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Rolleston, J. D. 1937. The history of acute exanthema. London.Google Scholar
Smith, Francis B. 1979. The people’s health, 1830–1910. London.Google Scholar
Wilson, L. G. 1986. The historical riddle of milk-borne scarlet fever. Bulletin of the History of Medicine 60.Google ScholarPubMed

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  • Scarlet Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.185
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  • Scarlet Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.185
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Scarlet Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.185
Available formats
×