Research Paper on:
Etiology of Scarlet Fever

Unformatted Sample Text from the Research Paper:
the direct result of a toxin released by this particular bacteria. While not all people develop a rash of any sort - severe or otherwise - it still remains  the most telltale symptom of scarlet fever; additionally, not all streptococci produce this toxin. For example, two siblings who both present with streptococcal infection would not necessarily display the  red rash of scarlet fever if one or the other was not sensitive to the toxin. II. SYMPTOMS As mentioned above, skin rash is the initial indication that scarlet  fever is present (Anonymous, 2000). Looking more like bad sunburn than anything else, the telltale sign that differentiates it from a burn is the presence of tiny papules and  sometimes itchiness. The neck and face are first to exhibit the scarlet color, with the mouth not typically being involved. From there it may spread to the back  and chest until it covers the entire body. Skin creases, such as those of the elbows and underarms, are particularly prone to intense streaking discoloration known as Pastia lines.  The duration of scarlet fever rash is approximately six days, at which time the redness fades and often leaves behind dry, patchy, peeling skin (Schmitt, 1999). In addition to  a red rash about the face and body, another telltale symptom of scarlet fever to help confirm the diagnosis includes sore throat, swollen neck glands and fever more than 101F.  A whitish coating may be present upon the tonsils, or they may appear red, swollen and covered with pus. As well, the tongue may become "furred," or covered  with a yellowish or whitish coating, which eventually turns red during the infections most heightened point. It, too, like the skin, may begin to peel as the infection progresses.