Roseola infantum

Also called: exanthem subitum, sixth disease, pseudorubella

Cause: Human herpesvirus-6 (the vast majority of the time), is often caused by HHV-6, enteroviruses, adenoviruses or parainfluenza virus

Symptoms: Three to five days of high fever (> 103 ° F or higher) and then the sudden appearance of rash soon after the fever subsides (12- 24 hours)

Often fever and irritability are the only symptoms during the first 3-5 days, but there can also be mild upper respiratory symptoms, malaise (tired feeling), red eyes, swollen eyelids, red tympanic membranes, spots in the throat, vomiting, and diarrhea

What does the rash look like (click green words): Small red spots that start on the trunk and spread to the head, arms, and legs. If you look closely, you may be able to see a white halo around the spots. If you press down on a red spot, it turns white (blanches). Lasts 1-3 days.

What age: 6 months to 3-4 years old, 90% of the time occurring in kids < 2 years old

Transmission: It can be passed from child to child during the fever phase through respiratory droplets or it can occur sporadically (no known exposure)

Treatment: Supportive care. Treat fever with Tylenol or Ibuprofen ( > 6 months old) and encourage your child to drink fluids.

When should you worry? If you can’t get your child to drink and he or she has less wet diapers or urinating less frequently. If your child’s fever lasts five days or longer. Or if you are worried about your child for any other reason.

Roseola usually occurs in the fall and spring months.

  • This is not medical advice. It is for educational purposes only.

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