[Katrin_002]

Сообщение от Dr.Vad

не специалист в данной области, но вот что пишут в литературе: скарлатина может повторяться в 10% и мин. интервал между рецидивами был 2 недели, наверное, нужен стрепта-тест, хотя он и менее специфичен

Of the 158 patients with microbiological confirmation of scarlet fever, 16 (10%) had more than one episode: 12 patients had two episodes, and 4 patients had three episodes. The mean age was 3.70±1.38 years for first episodes, 4.72±1.51 for second episodes and 5.34±1.69 for third episodes, and the minimum interval between the recorded episodes was 14 days, while the maximum was 5 years and 4 months.

The clinical manifestations were attenuated in episodes of reinfection:
fever of 38°C or higher in 53% of reinfections compared to 71% of initial episodes;

absence of cough in 66% reinfections versus 77% of initial episodes;

tonsillar exudate in 0% versus 20%, respectively; and

lymphadenopathy in 89% compared to 50%.

The Centor score was higher than 3 in only one of the recurrent episodes (5%). The other classical signs of scarlet fever were observed in very few cases. The mean time interval between the first and the second episodes was of 1.02 years, while the mean interval between the second and third episodes was of 0.62 years. The prescribed duration of antibiotherapy was 9.63±1.02 days for first episodes and 9.95±1.23 days for reinfections. In the first episode as well as in reinfections, amoxicillin was prescribed significantly more frequently (81%; 95% CI, 68%–93%) than penicillin V (19%; 95% CI, 7%–32%).

Благодарю 🙏