John Mersch, MD, FAAP
Dr. Mersch received his Bachelor of Arts degree from the University of California, San Diego, and prior to entering the University Of Southern California School Of Medicine, was a graduate student (attaining PhD candidate status) in Experimental Pathology at USC. He attended internship and residency at Children's Hospital Los Angeles.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Roseola facts
- What is roseola?
- What virus causes roseola?
- How is roseola spread?
- What are roseola symptoms and signs?
- How is the diagnosis of roseola established?
- How high can the fever go with roseola?
- What is the treatment for the fever of roseola?
- Can the fever cause a seizure?
- Is a seizure due to fever dangerous?
- What should one do if his or her child with roseola has a seizure?
- Is there a rash with roseola?
- What is most remarkable characteristic of roseola?
- What is the course of roseola?
- Are there any complications of roseola?
- Should a child with roseola see a doctor?
- When can the child return to child care?
- Is it possible to prevent roseola?
- What is the prognosis for a child with roseola?
- Are there other names for roseola?
- Find a local Pediatrician in your town
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 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. 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.
Can the fever cause a seizure?
Yes. The sudden and rapid rise in temperature elevation may trigger a seizure (a convulsion). Febrile seizures (convulsions due to fever) are common (3%) in children between 18 months to 3 years of age. They occur in 5%-35% of children with roseola.
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