Baby had a bout of high fever last week. The high fever appeared after a day of power disruption at our condo unit. With no fan and coincidentally, that particular was unusually hot and humid, Baby immediately developed a fever that evening. The next day, she had high fever, was very listless (which was pretty unlike this chatter box), had nilch appetite and only wanted to sleep. She practically slept the whole day, with me forcing her to wake up to force feed her with fluids and to shower her burning hot body. She also had tummy discomfort, purged a few times in a day and threw up after eating. On day 2 of the fever, she only ate a 3-4 sticks of Rocky vanilla milk biscuits, sips of Ribena mixed with water and E.Excel’s Nutrifresh for the entire day. With so little food and fluids in her body, I was worried sick that she would develop gastric or a gassy tummy, which can aggravate her tummy discomfort. She told me that plain water tasted bitter and refused plain water. I tried to give her diluted 100 Plus to replace the lost electrolytes but she absolutely hated it. At the height of the high fever, Baby was having hallucination and told me “I don’t like the sticker up there” while pointing to the ceiling. On day 3, the fever finally subsided, though she was still feeling lethargic and sleepy. Rashes also broke out all over her face and body.
Alycia went through this when she was Baby’s age at 3.5YO. She had hallucination too at the height of the high fever and scared the wits out of me when she told me that she saw a snowman outside our window! Being a first time mom, we brought her to see a few pediatricians, who did a string of blood tests on her, fearing that she was having Dengue fever. That doctor could not even diagnose her as having Infantile Roseola! And he was considered a senior pediatrician at a well-known 5-star hospital in KL.
Pictures of Baby’s Roseola rash:
What is Roseola Infantum?
A roseola rash or roseola infantum is a very common skin rash affecting infants and younger children. Therefore, it is commonly referred to as an infant rash or child rash. More specifically, the target age group for this skin condition is 6 months to 2 years. It may occur during the two to four year range as well, but almost never after four years of age.
The condition is caused by a virus and is considered a fairly harmless or mild illness. Actually, it is two viruses of the herpes family that cause the infant rash, although these viruses only produce the child rash and no other symptoms commonly associated with the herpes virus such as cold sores. Because it is viral, this health problem is contagious.
The main symptom of a roseola rash is a rosy-pink rash, usually flat but sometimes raised, that does not itch and is present on the entire body of the infant or child. This includes the face and neck areas, although the rash usually starts on the abdomen and back and then spreads to the extremities. A white ring might be present around some of the rash patches. This infant rash lasts from 24 to 48 hours on average. Another symptom that a child with roseola will experience includes the sudden appearance of a high fever (over 39.4 degrees Celsius or 103 degree Fahrenheit). This fever usually lasts for 48 to 72 hours, but can last longer. The roseola rash appears after the fever suddenly breaks. Other symptoms associated with roseola may include stomach related problems such as diarrhea or vomiting and possibly a sore throat and other symptoms that typically accompany a high fever such as lethargy and loss of appetite.
The treatment for this child rash is one of simply relieving the symptoms while the body fights off the virus. Relief includes managing the fever with acetaminophen or other non-aspirin medication to reduce fever. Lukewarm baths to cool the body temperature can also help. If the fever cannot be managed, then medical attention is required. Rest and plenty of fluids are also recommended. The actual infant rash does not need any specific treatment because it generally does not itch or produce much discomfort. Keeping the affected child comfortable and ensuring the child does not overheat usually helps to address any problems. The rash will disappear on its own. If the roseola persists for more than a couple of days or if the child simply does not seem to be getting better after a few days, then once again contact a medical professional to discuss your child’s condition.