My daughter 8 years old 28 kg having fever with vesicular rash

Microbiology

My daughter 8 years old 28 kg having fever with vesicular rash for 2 days . She is on cefixime , paracetamol, antihistamines, and lactocalamine lotion since yesterday ... I start acyclovir 200 mg 6 hourly today.. Need your expert opinion.

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Dr. Ahmedfarooq

General Practice

Rheumatic Fever Rheumatic fever is one of the complications associated with strep throat. The condition usually appears in children between the ages of 5 and 15, even though older children and adults have been known to contract the fever as well. Rheumatic fever is a relatively serious illness that, if left untreated, can cause stroke, permanent damage to your heart, and death. What Causes Rheumatic Fever The number one cause of rheumatic fever is strep throat. However, it has also been associated with scarlet fever. The body will sometimes attack its own tissues after its been infected with the strep throat bacteria. This reaction will cause widespread inflammation through the body that is the basis for all of the symptoms of rheumatic fever. What Are the Symptoms of Rheumatic Fever? Rheumatic fever is a complication of strep throat. If your child has any of the following symptoms, a strep test is needed: sore throat or sore throat with tender and swollen lymph nodesrashtrouble swallowingthick, bloody discharge from nose A wide variety of symptoms are associated with rheumatic fever. An individual with the illness could experience a few, some, or most of the symptoms below. Symptoms usually appear two to four weeks after your child has been diagnosed with strep throat. Common symptoms include: feverpainful/tender joints in the ankles, knees, elbows, and wristspain in one joint that moves to another jointred, hot, swollen jointssmall nodules (bumps) under the skin that dont hurtchest painrapid fluttering or pounding chest palpitationsfatiguenosebleedsstomach painshortness of breathshort attention spansweatingvomitingflat, slightly raised, ragged rashjerky uncontrollable hand, feet, face movementsoutbursts of crying or inappropriate laughter The following situations require that you seek medical advice and or attention: fever that is over 100F in newborns to 6-week-old infantsfever that is 102F or higher in babies 6 weeks to 2 years oldfever that is 103 F or higher in children age 2 years or olderfever that lasts more than three days Effective Treatments for Rheumatic Fever The most effective way to make sure that your child does not contract rheumatic fever is to make sure all strep bacteria are killed. In addition, doctors will treat the symptoms and control resulting inflammation. This can include any of the following. Antibiotics Doctors will prescribe antibiotics and, on occasion, will prescribe a long-term (up to five-year) treatment to prevent reoccurrence. Anti-inflammatory Treatment Anti-inflammatory treatments include pain relief medications that are also anti-inflammatory, such as aspirin or naproxen. Doctors may also prescribe a corticosteroid (a class of drug that decreases inflammation). Anticonvulsant Medications Your doctor might prescribe an anticonvulsant if involuntary movements become too severe. Doctors will also recommend bed rest and restricted activities until the major symptoms like pain and inflammation have passed. Your child might be placed on strict bed rest for a few weeks to a few months if the fever has caused heart problems.