Instructions on how to take care of patients with fever

The article was written by Specialist Doctor II Nguyen Van Son - Pediatric Center - Vinmec Times City International Hospital

Scarlet fever is an acute infectious disease caused by Rickettsia tsutsugamushi. The disease is clinically characterized by fever lasting 2-3 weeks, accompanied by skin ulcers, generalized lymphadenopathy and rash.

Scarlet fever is an acute infection caused by Rickettsia tsutsugamushi - intracellular parasitic bacteria. The main reservoir of pathogens is mites infected with Rickettsia tsutsugamushi. Mosquitoes can transmit pathogens to rodents and small mammals, either vertically through eggs to the next generation, or incidentally to humans. Secondary pathogens are rodents and small mammals such as mice, squirrels, ferrets, rabbits, birds, cattle, poultry...
The disease is transmitted to humans through mite larvae. When attached to a person, the mite larvae usually sting for 2-3 days, then return to the ground, mature and reproduce the next generation. An infected person is not capable of transmitting the disease to others. Red Mosquitoes usually live in bushes, damp grass, shaded places or in caves. Humans can be infected with the bite disease when living or working in an outbreak area, going through riverside, streamside, into caves, resting on the lawn...
In Vietnam, the disease Scarlet fever occurs all year round, but mainly in the rainy season from April to October, these are rainy months with high humidity, conditions for mite larvae to develop.

The initial sign is high fever and some other symptoms can be confused with common fever, Dengue hemorrhagic fever, typhus (measles), malaria. Or due to fatigue, irritability, dizziness, lightheadedness, dizziness, tinnitus, sweating, muscle pain as in hemorrhagic yellow fever (Leptospirosis). There are cases of lethargy, lethargy, and gloom like typhoid (caused by Salmonella bacteria). Even the disease is easily confused with acute glomerulonephritis, thrombocytopenia bleeding ...
Diagnosis should be based on typical ulcers and clinical symptoms. In addition, a definitive diagnosis requires making specific antibodies in the blood. And based on typical symptoms such as black scaly burning nodules, growing in private places, armpits, groin...

However, there are times when the disease is not clear, difficult to diagnose, the disease is like other sepsis, doctors must have the right tests and consultations to detect the disease early, treat it. appropriate and timely. Without early and appropriate antibiotic treatment, typhus can progress to complications of multiple organ failure including respiratory failure, circulatory failure, liver failure, kidney failure, coagulopathy, and death. death.
Currently, there is no vaccine to prevent tick fever, so to prevent the disease, people living in areas where tick fever is endemic should apply measures to prevent tick larvae such as avoiding going into areas with vegetation. , wear closed clothes, wear clothes impregnated with insect repellent chemicals such as benzyl benzoate, apply insect repellent chemicals such as diethyltoluamide on open skin areas...
Vinmec International General Hospital is one of them. The hospitals not only ensure professional quality with a team of leading medical doctors, a system of modern technological equipment. The hospital provides comprehensive and professional medical examination, consultation and treatment services, with a civilized, polite, safe and sterile medical examination and treatment space.