Pediatrics/reccurent scalet fever
I have a 5ys old with no history of repeated sore throat.
2 months ago has been diagnosed as scarlet fever based on rash and throat culture (sensitive to amoxacillin). He received amoxacillin 50mg/kg for 12 days then he spiked fever 3 days after stopping the antibiotic he received ceftriaxone IV for 7 days (no hospital admission) then ceforoxim for 3 days and he responded well
3 weeks after he developed fever, rash again and sore throat and + ve strept culture and put on amoxacillin again
what should we do this recurrence
I am not sure why he was given the ceftriaxone IV. I am also not sure about the sensitivity of the strep to amoxicillin, for we never check this, the assumption being that all are sensitive to group B beta strep. Was the fever spike due to a recurrent strep? Was this cultured the second time? Are his tonsils large? I need some more information. In my office, if the throat was red and looked like strep and the second culture (with the fever 3 days after the antibiotics) was positive, I would just have given a ten day treatment with another penicillin.
Good luck, Dr. Olson