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Roseola (cont.)

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What specialties of doctors treat roseola?

Pediatricians and family practitioners are capable of diagnosing and managing a child with roseola. Specialists (infectious disease experts) are rarely needed to assist in the care of this generally benign disease.

How do health care professionals diagnose roseola?

The characteristic clinical pattern of sudden onset of high fever and development of the typical rash at the time of fever resolution generally enables a rapid diagnosis without any laboratory studies. For unusual presentations, patients with complications or those with immune deficiency states, several forms of blood tests can assist in establishing the diagnosis.

How high can the fever go with roseola?

The fever can be quite high. The fever averages 103.5 F (39.7 C), but it can go up as high as 106 F (41.2 C).

What are home remedies for roseola?

Since roseola patients experience a moderate fever, medications to lower fever (antipyretics) are helpful in lowering fever and lessening any associated discomfort (such as headache). Such medications include acetaminophen and/or ibuprofen. A cool bath (approximate water temperature of 85 degrees) may also be therapeutic. No therapy is necessary regarding the rash of roseola since it does not cause symptoms, it is short-lived, and it resolves spontaneously.

What is the treatment for the fever of roseola?

If the fever is not causing the child to be uncomfortable, the fever need not be treated. It is not necessary to awaken the child to treat a fever unless instructed to do so by a health care professional.

If someone wants to treat the fever, acetaminophen (Tylenol and others) can be used. The dosage interval is every four hours. Ibuprofen (Advil, Motrin, and others) may be used in lieu of acetaminophen on an every six-hour basis. Both families of medication are equally effective in lowering a child's fever. There is no medical benefit alternating acetaminophen with ibuprofen. Aspirin should never be used for fever in children or adolescents.

A child with a fever should be kept comfortable and not be overdressed. Overdressing can cause the temperature to go higher. Bathing with tepid water (85 F or 29.5 C) may help bring down a fever by 1 to 1.5 degrees. If a child develops shivering during the bath, the temperature of the bath water should be raised. Never sponge a child (or an adult) with alcohol; the alcohol fumes may be inhaled, causing many problems.

Medically Reviewed by a Doctor on 8/4/2017

Source: MedicineNet.com
http://www.medicinenet.com/roseola/article.htm

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