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? Is roseola contagious?
- What virus causes roseola?
- What are the risk factors for roseola?
- How is roseola spread? What is the incubation period for roseola?
- What are roseola symptoms and signs?
- What specialties of doctors treat roseola?
- How do health care professionals diagnose roseola?
- How high can the fever go with roseola?
- What are home remedies for roseola?
- What is the treatment for the fever of roseola?
- What should one do if his or her child with roseola has a seizure?
- Can the fever cause a seizure?
- Is a seizure due to fever dangerous?
- Is there a rash with roseola?
- What is most remarkable characteristic of roseola?
- How long does roseola last?
- Are there any complications of roseola?
- Should a child with roseola see a doctor?
- When can the child return to child care?
- Is there a vaccine for roseola?
- 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
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.
Learn more about: Ibuprofen
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.
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