I see cases yearly: Scarlet fever in the days before antibiotics was a truly scary disease. Weeks of high temperature and pealing red skin rash were often followed by other complications. Today it is muted by treatment. The rash generally starts within 12hrs of a fever with any strain of strep that can make the erythrotoxin.Treatment kills enough strep to minimize the rash & shorten the illness.
Answered 9/28/2016
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