Hoping you can tell me, is "strep rash" the same as scarlet fever?

Yest: Think of scarlet fever as strep with a rash.

Yes and no: The strep rash is what used to be the most prominent feature of scarlet fever. But the term is more of a historical one. There was a time (lest we forget) that we did not have antibiotics. Scarlet fever described a systemic strep illness that could last more than a week with high sustained fevers over 103 and the rash.Most would recover but some developed rheumatic fever afterward.