Treatment Options for Scarlet Fever

Treatment Goals for Scarlet Fever

Scarlet fever, also known as scarlatina, is a bacterial infection caused by group A Streptococcus [strep-tuh-KOK-uhs] bacteria. Antibiotics for scarlet fever are the main treatment because they help address the infection, support recovery, and reduce the risk of complications. Scarlet fever commonly occurs after a strep throat infection or a Streptococcal skin infection. The infection leads to the development of a red or discolored rash, which typically feels like sandpaper and starts on the neck, underarms, and groin before spreading to other parts of the body.

The goal of treating scarlet fever is to relieve symptoms, promote recovery, and prevent complications. The treatment aims to achieve the following goals:

  • Relieve symptoms: Treatment helps reduce the severity and duration of symptoms such as fever, sore throat, and rash. Antibiotics are commonly prescribed to target the underlying bacterial infection that causes scarlet fever.
  • Promote recovery: By giving antibiotics, healthcare professionals can destroy the bacteria causing scarlet fever and speed up the recovery process. Antibiotics like penicillin or azithromycin are typically used, although other options may be effective as well.
  • Prevent complications: Prompt treatment of scarlet fever is crucial to prevent further spread of infection and potential complications. If left untreated, scarlet fever can lead to complications such as peritonsillar and retropharyngeal abscesses, acute rheumatic fever, glomerulonephritis, bacteraemia, pneumonia, endocarditis, meningitis, hepatitis, gallbladder hydrops, or splenomegaly.

Antibiotics are used to treat the group A strep bacteria that cause scarlet fever. They can help people feel better sooner, lower the chance of spreading the infection to others, and reduce the risk of serious complications.

The main goals of treatment are to ease symptoms, help recovery, prevent complications, and reduce the spread of infection. People with scarlet fever should take antibiotics exactly as prescribed and finish the full course, even if they start to feel better, unless their healthcare provider tells them otherwise.

Antibiotics and Other Scarlet Fever Treatment Options

The main treatment for scarlet fever is antibiotics, such as penicillin or amoxicillin. These medicines treat the group A strep bacteria that cause the infection. Antibiotics can help people feel better sooner, reduce the chance of spreading the infection to others, and lower the risk of complications. Be sure to take antibiotics exactly as prescribed and finish the full course, even if symptoms improve, unless a healthcare provider says otherwise.

It is also important to know:

  • If someone is allergic to penicillin, a healthcare provider may prescribe a different antibiotic. The best choice depends on the type of allergy and the person’s medical history.
  • Over-the-counter medicines, such as acetaminophen or ibuprofen, may help reduce fever, throat pain, and general discomfort. These medicines should be used as directed. Aspirin should not be given to children or teenagers unless a healthcare provider recommends it.
  • Drinking plenty of fluids can help prevent dehydration, especially when a person has a fever or sore throat.
  • Rest can support recovery while the body fights the infection.
  • The scarlet fever rash often feels rough, like sandpaper. It usually improves as the infection is treated and does not usually need special skin treatment. If the rash is very itchy, painful, blistering, or worsening, contact a healthcare provider.

Supportive care, such as staying hydrated, resting, eating soft foods if the throat is sore, and washing hands often, can help with comfort and reduce the spread of infection.

Before using over-the-counter medicines, ask a healthcare provider or pharmacist if they are safe, especially for children, people with medical conditions, or people taking other medicines. Medication dosing and side effects can vary, so follow the label instructions or the guidance provided by a healthcare professional.


Before using over-the-counter medicines, ask a healthcare provider or pharmacist if they are safe, especially for children, people with medical conditions, or people taking other medicines. Medication dosing and side effects can vary, so follow the label instructions or the guidance provided by a healthcare professional.