Clinical Case of Extrabuccal Form of Scarlet Fever in a Child

A clinical case of extrabuccal scarlet fever in a 10-month-old child with concomitant second-degree thermal burns of both hands is presented. The disease was characterized by a severe course with pronounced intoxication of the body due to burn damage to the skin, which significantly complicated the clinical picture. The child was admitted to the infectious diseases hospital with a high fever (up to 40°C), restlessness, profuse skin rashes, cough, and swelling of the lower extremities. The patient's medical history included a thermal burn of both hands with boiled water 4 days prior to hospitalization. Due to deteriorating condition, the child was transferred to the infectious diseases hospital. Laboratory data revealed pronounced leukocytosis with a neutrophilic shift, a significant increase in C-reactive protein, and decreased total protein and albumin in the blood, reflecting an active inflammatory process, severe intoxication, and impaired protein metabolism. Instrumental examinations revealed hepatomegaly and ascites, indicating a systemic inflammatory process. Treatment included a combination of ampicillin and amikacin, infusion and detoxification therapy, protein metabolism correction, and anti-inflammatory therapy. With this comprehensive treatment, the child's condition improved. Early detection and appropriate treatment can reduce the risk of severe complications, improve the clinical prognosis, and improve patients' quality of life.