Dear Mbak Fibrie, kebetulan anak saya Fidel (4 tahun) pernah juga mengalami hal yang sama dengan Audrey, memang demamnya tinggi selama 2 hari dan pada hari ketiga demamnya turun. hari pertama panasnya sampe 38 derajat, hari kedua 39 derajat dan tidak disertai batuk atau pilek hanya fidel lemah dan makannya tidak selahap biasa. treatment yang saya lakukan cuma mengompresnya dengan air hangat, berendam di air hangat dan memberikan banyak cairan (jus, putih dan air teh manis) juga memberikan obat penurun panas seperti tempra (maaf sebut merek). pada hari kedua karena panasnya belum turun dan atas desakan ibu saya, kami ke dokter untuk meyakinkan penyakitnya, dan DSAnya memberikan resep puyer antibiotik, tetapi saya pikir ini hanya comon cold biasa...jadi masih dengan treatment yang sama dan obat2an itu tidak saya berikan pada Fidel, alhamdulilah pada hari ke -3 panasnya berangsur turun tetapi muncul bintik2 merah didaerah punggung dan dahinya...saya sempat browsing ke berbagai situs kesehatan dan sempat juga bertanya di salah satu milis ternyata itu roseola... ini saya posting artikel tentang roseola, jangan panik mbak karena bintik2 itu akan hilang 3-7 hari, tetap dimandikan dan dibersihkan badannya.. semoga membantu salam elsye - mamanya fidel dan pascal
Medical Library Done with printing Roseola What is it? Roseola (also called exanthem subitum) is a viral illness caused by the human herpesvirus 6 (HHV-6). This type of herpesvirus is different from the herpesvirus responsible for cold sores or genital herpes infections. Roseola usually affects children about 6 months to 3 years old, with the highest number of cases occurring between ages 6 months and 12 months. Roseola is a contagious illness, and outbreaks may occur throughout the year. Roseola virus probably spreads in the saliva of infected persons and possibly in other body fluids as well. Once a person recovers from a roseola infection, the HHV-6 virus may lie dormant (inactive) in the body for many years, possibly living inside certain blood cells or in cells of the salivary glands. This dormant virus may reactivate later in life, if immune defenses are weakened by illnesses or medicines that affect the immune system. Although laboratory studies show that over 90 percent of children have been infected by HHV-6 by the time they are 2 years old, in about two thirds of these children the infection is asymptomatic (produces no symptoms). When symptoms do develop, they usually begin five days to 15 days after exposure to the virus. What are the symptoms? Characteristically, children with roseola have high fever and a rash that begins after the fever ends. Roseola can cause temperatures in the range of 102ºF to 105ºF. Fever may last for two days to five days, with three days being the average. During this time, the child may look and act well, or may seem just a little fussier or sleepier than usual. The child may also have any of the following symptoms: mild diarrhea, mild respiratory symptoms (cough or runny nose), or a sore throat with enlarged lymph nodes (swollen glands) in the neck. Generally, on the third or fourth day of the illness, the temperature suddenly returns to normal just as the roseola rash appears. The rash looks like pink spots that blanch (turn white) when you touch them. Individual spots may have a lighter "halo" around them. The rash begins on the trunk and neck, then may spread to the arms, legs, and face. It may last for a few hours or up to one or two days. The high fever of roseola may trigger febrile seizures in about 10 percent of cases. How is it treated? Antibiotics are not effective in treating viral illnesses like roseola. Treatment of roseola is generally aimed at reducing a high fever and making the child more comfortable. Treat fever using a nonaspirin fever-reducing medicine, such as acetaminophen (like Tylenol®) or ibuprofen (like Motrin®). Unless instructed by your child's doctor, avoid giving aspirin to a child who has a viral illness, since the use of aspirin in certain viral infections has been associated with the development of Reye's syndrome. Encourage your child to drink plenty of fluids to help replace body water lost as the result of fever and sweating. How long does it last? Most children recover spontaneously from roseola within one week. How can roseola be prevented? There is no vaccine to prevent roseola. The only way of preventing it is by avoiding exposure to someone who already has the infection. As a practical matter, this is difficult to do since not everyone with the viral infection is aware of it. An episode of roseola in childhood usually provides lasting immunity to the illness. When should the doctor be called? There are many causes of fever in childhood. Call your doctor whenever your child has a high fever. Your doctor may investigate the reason for your child's fever and may prescribe medicines to fight an infection, if one is present. © Copyright 1998 American Medical Association All rights reserved. This article is provided by Medem, Inc. All rights reserved. Source : http://www.medem.com/search/article_display_for_printer.cfm?path=\\TANQUERAY\M_ContentItem&mstr=/M_ContentItem/ZZZZ0O0J1AC.html&soc=AMA&srch_typ=NAV_SERCH Print size: Regular Large Original Article: http://www.mayoclinic.com/invoke.cfm?id=DS00452 Roseola Overview Roseola is a generally mild viral illness that usually affects babies and young children. The condition typically causes several days of fever, followed by a rash. Two common strains of the herpes virus cause roseola. It usually affects children between 6 months and 3 years of age, though it occasionally affects adults. It's extremely common so common, in fact, that most children have been infected by the time they enter kindergarten. Some children develop only a very mild case of roseola and never show any clear indication of illness, while others experience the full range of signs and symptoms. The infection can occur at any time of the year. Roseola typically isn't serious. Rarely, complications from a very high fever can result. Treatment includes bed rest, fluids and medications to reduce fever. Signs and symptoms If your child is exposed to someone with roseola and becomes infected with the virus, it generally takes a week or two for signs and symptoms of infection to appear if they appear at all. It's possible to become infected with roseola but have symptoms too mild to be readily noticeable. Signs and symptoms may include: · Fever. Roseola typically starts with a sudden, high fever often greater than 103 F. Some children may also have a slightly sore throat or a runny nose along with or preceding the fever. Your child may also develop swollen glands in his or her neck along with the fever. The fever lasts for three to seven days. · Rash. Once the fever subsides, a rash typically appears but not always. The rash consists of many small pink spots or patches. These spots are generally flat, but some may be raised. There may be a white ring around some of the spots. The rash usually starts on the chest, back and abdomen and then spreads to the neck and arms. It may or may not reach the legs and face. The rash, which isn't itchy or uncomfortable, can last from several hours to several days before fading. Other signs and symptoms of roseola may include: · Fatigue · Irritability in infants and children · Mild diarrhea · Decreased appetite · Swollen eyelids Causes The most common cause of roseola is the human herpes virus 6 (HHV6), but the cause also can be another herpes virus human herpes virus 7 (HHV7). These herpes viruses are related to, but different from, those that cause cold sores and genital herpes. Like other viral illnesses, such as a cold, roseola spreads from person to person through contact with an infected person's respiratory secretions or saliva. For example, a child who drinks out of the cup of another child who has roseola could contract the virus. Roseola is contagious even if no rash is present. That means the condition can spread while an infected child has a fever but before it's clear that the child has roseola. Watch your child for signs of roseola if your child has interacted with another child who has the illness. Sometimes it's not clear how a child contracted roseola. Unlike chickenpox and other childhood viral illnesses that spread rapidly, roseola rarely results in a communitywide outbreak. Risk factors Older infants are at greatest risk of acquiring roseola because they haven't had time yet to develop antibodies against many viruses. While in the uterus, babies receive antibodies from their mothers that protect them as newborns from contracting infections such as roseola. But that immunity fades with time. The most common age for a child to contract roseola is between 6 and 12 months. When to seek medical advice Roseola can cause a high fever 103 F or higher. Call your child's pediatrician anytime your child has a fever greater than 103 F. Your doctor may want you to bring your child in for a physical exam to rule out more serious causes of fever than roseola. Your child could have a convulsion (febrile seizure) if his or her fever becomes too high or spikes too quickly. However, usually by the time you notice your child's high temperature, the threat of a possible seizure has already passed. If your child does have an unexplained seizure, seek medical care immediately. If your child has roseola and the fever lasts more than seven days, or if the rash doesn't improve after three days, call your child's doctor. If your immune system is compromised and you come in contact with someone who had roseola, contact your doctor. You may need monitoring for a possible infection which, for you, could be more severe than it is for a child. Screening and diagnosis Roseola can be difficult to diagnose because initial symptoms are similar to those of other common childhood illnesses, such as the common cold or an ear infection. If it's clear that no cold, ear infection, strep throat or other common condition is present, your doctor may wait to see if the characteristic rash of roseola begins. Your doctor may tell you to look for the rash while you treat your child's fever at home. Doctors confirm a diagnosis of roseola by the telltale rash or, in some cases, by a blood test to check for antibodies to roseola. Complications Occasionally children with roseola experience a seizure brought on by a rapid rise in body temperature. If this happens, your child might briefly lose consciousness and jerk his or her arms, legs or head for several seconds to minutes. He or she may also lose bladder or bowel control temporarily. If your child has a seizure, seek emergency care. Fortunately, although frightening, fever-related seizures in otherwise healthy young children are generally short-lived and are rarely harmful. Complications from roseola are rare. The vast majority of otherwise healthy children and adults with roseola recover quickly and completely. Roseola is of greater concern in people whose immune system is compromised, such as those who have recently received a bone marrow or organ transplant. They may contract a new case of roseola or a previous infection may come back while their immune system is weakened. Because they have less resistance to viruses in general, immune-compromised people tend to develop more severe cases of infection and have a harder time fighting off illness. People with weak immune systems who contract roseola may experience potentially serious complications from the infection, such as pneumonia or encephalitis a potentially life-threatening inflammation of the brain. Treatment Most children recover fully from roseola within a week of the onset of the fever. With your doctor's advice, you can give your child over-the-counter medications to reduce fever, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). However, don't give aspirin to a child who has a viral illness because aspirin has been associated with the development of Reye's syndrome, which can be serious. There's no specific treatment for roseola, although some doctors may prescribe the antiviral medication ganciclovir (Cytovene) to treat the infection in people with weakened immunity. Antibiotics aren't effective in treating viral illnesses such as roseola. Prevention Because there's no vaccine to prevent roseola, the best you can do to prevent the spread of roseola is avoid exposing your child to an infected child. If your child is sick with roseola, keep him or her home from school and child care and away from other children. Most people have antibodies to roseola by the time they're of school age, making them immune to a second infection. Even so, if one household member contracts the virus, make sure that all family members wash their hands frequently to prevent spread of the virus to anyone who isn't immune. Adults who never contracted roseola as children can become infected later in life, though the disease tends to be mild in healthy adults. The main concern is that infected adults can pass the virus on to children. Self-care Like most viruses, roseola just needs to run its course. Once the fever subsides, your child should feel better soon. However, a fever can make your child uncomfortable. To treat your child's fever at home, your pediatrician may recommend that your child: · Get plenty of rest. Let your child rest in bed until the fever disappears. · Drink plenty of fluids. Encourage your child to drink clear fluids such as water, ginger ale, lemon-lime soda, clear broth or an electrolyte solution (such as Pedialyte or sports drinks such as Gatorade and Powerade) to prevent dehydration. · Take sponge baths. A lukewarm sponge bath or a cool washcloth applied to your child's head can soothe the discomfort of a fever. However, avoid using ice, cold water, fans or cold baths. These may give the child unwanted chills. There's no specific treatment for the rash of roseola, which fades on its own in a short time. Coping skills Roseola will likely keep your child home for a few days. When staying home with your child, plan low-key activities that you both will enjoy. If your child is sick and you have to return to work, recruit help from your partner or from other relatives and friends. By Mayo Clinic staff DS00452 May 06, 2004 © 1998-2005 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "Mayo Clinic Health Information," "Reliable information for a healthier life" and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research. Three-day-fever (roseola infantum) --------------------------------- Start your day with Yahoo! - make it your home page [Non-text portions of this message have been removed] ------------------------ Yahoo! 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