猩红热：全科医生指南
Scarlet fever: a guide for general practitioners.
作者信息
Basetti S, Hodgson J, Rawson T M, Majeed A
机构信息
School of Medicine, Imperial College London, London, UK.
Department of Primary Care and Public Health, Imperial College London, London, UK.
出版信息
London J Prim Care (Abingdon). 2017 Aug 11;9(5):77-79. doi: 10.1080/17571472.2017.1365677. eCollection 2017 Sep.
Abstract
There has been an increase in the incidence of scarlet fever with most cases presenting in General Practice and Emergency Departments. Cases present with a distinctive macro-papular rash, usually in children. This article aims to increase awareness of scarlet fever by highlighting key symptoms and stating potential complications if untreated. In patients who have the typical symptoms, a prescription of a suitable antibiotic such as phenoxymethylpenicillin (Penicillin V) should be made immediately to reduce the risk of complications and the spread of infection.
摘要
猩红热的发病率有所上升，大多数病例出现在全科医疗和急诊科。病例通常表现为特征性的斑丘疹，多见于儿童。本文旨在通过强调关键症状以及说明未经治疗可能出现的并发症来提高对猩红热的认识。对于有典型症状的患者，应立即开具合适的抗生素处方，如苯氧甲基青霉素（青霉素V），以降低并发症风险和感染传播。
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本文引用的文献
1
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Cochrane Database Syst Rev. 2016 Sep 11;9(9):CD004406. doi: 10.1002/14651858.CD004406.pub4.
2
Scarlet Fever Upsurge in England and Molecular-Genetic Analysis in North-West London, 2014.2014年英国猩红热疫情激增及伦敦西北部的分子遗传学分析
Emerg Infect Dis. 2016 Jun;22(6):1075-8. doi: 10.3201/eid2206.151726.
3
Transfer of scarlet fever-associated elements into the group A Streptococcus M1T1 clone.与猩红热相关的基因元件向A群链球菌M1T1克隆株的转移。
Sci Rep. 2015 Nov 2;5:15877. doi: 10.1038/srep15877.
4
Febrile Illness with Skin Rashes.伴有皮疹的发热性疾病
Infect Chemother. 2015 Sep;47(3):155-66. doi: 10.3947/ic.2015.47.3.155. Epub 2015 Sep 30.
5
Streptococcus pyogenes and re-emergence of scarlet fever as a public health problem.化脓性链球菌与猩红热作为公共卫生问题的再度出现。
Emerg Microbes Infect. 2012 Jul;1(7):e2. doi: 10.1038/emi.2012.9. Epub 2012 Jul 11.
6
Trends in paediatric macrolide use in five European countries-a population-based study.五个欧洲国家儿童大环内酯类药物使用趋势——一项基于人群的研究。
Eur J Clin Pharmacol. 2015 Aug;71(8):991-9. doi: 10.1007/s00228-015-1870-7. Epub 2015 May 22.
7
Getting truculent with truncal rashes.对躯干皮疹变得粗暴无礼。
Pediatr Ann. 2013 Aug;42(8):311-4. doi: 10.3928/00904481-20130723-05.
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BMC Med. 2011 Jun 1;9:67. doi: 10.1186/1741-7015-9-67.
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Arch Dis Child. 2011 Apr;96(4):394-7. doi: 10.1136/adc.2010.189944. Epub 2010 Nov 10.
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