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Guide

Having a sick infant can be frightening for a parent.
Roseola (also known as sixth disease, exanthem subitum, and roseola infantum) is a viral illness in young kids, most commonly affecting those between 6 months and 2 years old. It is usually marked by several days of high fever, followed by a distinctive rash just as the fever breaks.

A child with roseola typically develops a mild upper respiratory illness, followed by a high fever (often over 103° F or 39.5° C) for up to a week. During this time, the child may appear fussy or irritable and may have a decreased appetite and swollen lymph nodes (glands) in the neck.

The high fever often ends abruptly, and at about the same time a pinkish-red flat or raised rash appears on the trunk and spreads over the body. The rash's spots blanch (turn white) when you touch them, and individual spots may have a lighter "halo" around them. The rash usually spreads to the neck, face, arms, and legs.

The fast-rising fever that comes with roseola triggers febrile seizures (convulsions caused by high fevers) in about 10% to 15% of young children. The fever of roseola lasts from 3 to 7 days, followed by a rash lasting from hours to a few days.
Until the fever drops, you can help keep your child cool using a sponge or towel soaked in lukewarm water. Do not use ice, cold water, alcohol rubs, fans, or cold baths. Acetaminophen (such as Tylenol) or ibuprofen (such as Advil or Motrin) can help to reduce your child's fever. Don't give aspirin to a child who has a viral illness because its use in such cases has been associated with Reye syndrome, which can lead to liver failure and death.

It is important to prevent dehydration from the fever. Give your child clear liquids, water and clear broth.

Call the doctor if your child is lethargic or not drinking or if you cannot keep the fever down. It is a very good sign that the fever is going down thus reducing the risk of seizures.

Hope your baby feels better very soon,

Maryann

October 24, 2011 - 5:00pm

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