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Children's roseola

Short characteristic of a disease

Детская розеолаThe children's roseola is the infection affecting usually small children, is preferential to two-year age.

The second widespread name of a disease – a sudden dieback. Also the roseola as children's fever, the sixth disease and a pseudorubella is known.

Symptoms of a children's roseola often confuse to symptoms of a SARS, rubella or allergy therefore to make the diagnosis can be difficult.

Reasons of emergence of a disease

The reason of a children's roseola – the causative agent of herpes of 6 and 7 types. In adults these viruses cause a syndrome of chronic fatigue, and in children – a roseola. The virus gets into skin and fabrics, causes their damage, infects mononuclear cells, reacts with immune cellular factors and provoke emergence of a dieback (rash on skin).

The disease is eurysynusic among children, but, the infection mechanism nevertheless is not studied. Presumably and most possibly, that the virus causing a roseola, an airborne way is transmitted. An incubation interval – 5-15dn, on average 3-7dn.

Most often the roseola at children and develops in the spring in the fall.

Symptoms of a children's roseola

The roseola the nursery begins with sharp rise in body temperature of the child to 39-40,5grd. Vomiting, cold, cough, the catarral phenomena, changes of a chair is not observed. Temperature remains at the high level 3-5dn, at the same time efficiency of febrifugal drugs is minimum. Critical temperature drop is necessary on 4y day, and through 10-20ch after stabilization of a state on all body there are pink papular spotty rashes which are slightly raised over skin. Rashes on an extent of several hours or days remain.

After rash is shown, rise in temperature is not fixed any more. There passes the dieback without spots and a peeling through 4-7dn.

The characteristic symptom - rash begins to extend with a trunk, later passes to a face, a neck, hands, legs. The most plentiful rashes are observed on the child's body.

Additional symptoms of a roseola: increase in cervical, ear (back) lymph nodes, the child sluggish, badly eats, is irritable. Increase in a liver, spleen is sometimes noted.

In blood increase in lymphocytes, reduction of quantity of leukocytes is observed.

Diagnosis of a disease

Except external survey and assessment of symptoms of a children's roseola, do blood test, sometimes apply serological diagnosis (increase in a caption of immunoglobulin G is observed four times).

Important at diagnosis to distinguish a roseola from medicinal rash, enteroviral not poliomyelitic infections, an erythema infectious, sepsis, otitis, bacterial pneumonia, meningitis, a rubella, measles.

Treatment of a children's roseola

Для облегчения состояния ребенка во время подъема температуры при деткой розеоле ему дают жаропонижающие средства – парацетамол или нурофенThere is no specific treatment of a children's roseola. For simplification of a condition of the child in a rising period it is given antipyretics – paracetamol or a nurofen, watch that there did not come dehydration. The room where there is a sick child, should be aired constantly.

The symptomatic treatment of a children's roseola to children with immunosuppression (oppression of immunity because of recently postponed diseases, stresses) is supplemented with purpose of an acyclovir and foskarnet.

If efficiency of means for removal of heat is minimum and at the child spasms will begin, it is necessary to ask for medical assistance.

Prevention of a disease

In view of the fact that the reason of a children's roseola – infection with a virus, prevention consists only in restriction of contact of the child with the children who are presumably infected with it.

Therefore children at whom this disease is established as well as at other contact infection, it is necessary to isolate to an absolute recovery.

 
 
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