Tuesday, September 11, 2007

WHO DO THEY LOOK LIKE??


Sunday, September 02, 2007

Roseola

Poor Fiona is down with Roseola (Sixth Disease). She had high fever for 3 days, followed by mild rashes on her body and some on her face. She was quite cranky for the past few days. However, yesterday, we noted that she was sleepy and slept more than usual - 3.5 hrs in the afternoon and again, she fell asleep early at 7 pm plus in the night.

What are the first symptoms of roseola?
The initial signs and symptoms of roseola include a sudden high fever that lasts for 3 to 5 days, irritability, bulging "soft spot" on the head (fontanel), swollen glands in the front or back of the neck, runny nose, puffy eyelids (due to swelling with fluid), and mild diarrhoea.

How high can the fever go?
Quite high. The fever averages 103.5 F (39.7 C) but it can go up as high as 103-106 F (39.4-41.2 C).

How should the fever be treated?
If the fever is not causing the child to be uncomfortable, the fever need not be treated. It is not necessary to awaken the child to treat a fever unless instructed to do so by a health care practitioner.
If you wish to treat the fever, acetaminophen (Tylenol and others) can be used to lower a fever. Aspirin should NEVER be used for fever in children or adolescents.
A child with a fever should be kept comfortable and not be overdressed. Overdressing can cause the temperature to go higher. Bathing with tepid water (85 degrees F <30.0>) may help bring down a fever. Never sponge a child (or an adult) with alcohol; the alcohol fumes may be inhaled causing many problems.

Is there a rash with roseola?
Yes, but not in the beginning. When the fever disappears, a rash appears. The rash is mainly located on the neck and body, especially, the abdomen, trunk, and back but it can also be on the arms and legs (extremities).
The rash appears as separate little raised dots (papules) or as a flat (macular) rash.

What is most remarkable characteristic of roseola?
What is most striking is that the child seems so well despite having a high fever.