What Happens After a Telemedicine Visit for Scarlet Fever (Child) - Triage

Audience: pediatric

After a telemedicine visit for a child suspected of having scarlet fever, parents and caregivers will usually receive guidance on how to manage symptoms and when to seek further care. Scarlet fever is caused by a bacterial infection and often requires antibiotics. The healthcare provider may recommend starting treatment promptly to reduce symptoms and prevent complications. Follow-up instructions typically include monitoring the child's fever, rash, and overall behavior. It's important to keep the child hydrated and rested. If symptoms worsen or new signs appear, such as difficulty breathing or dehydration, immediate in-person evaluation may be necessary. Telemedicine can help assess the child's condition, provide advice, and arrange prescriptions, but it cannot replace physical exams or urgent care when needed. This guide helps families understand what to expect after the virtual visit and how to support their child's recovery safely.

Red flags — go in person / ER

• Child has trouble breathing or swallowing — seek emergency care immediately.
• High fever that does not go down after medication — contact healthcare provider promptly.
• Signs of dehydration such as very little urine, dry mouth, or extreme sleepiness — get urgent medical help.

What telemedicine can do

• Initial assessment of symptoms and history.
• Providing education about scarlet fever and home care.
• Prescribing antibiotics when appropriate.
• Monitoring mild to moderate symptoms remotely.
• Guiding parents on when to seek in-person care.

What telemedicine cannot do

• Performing physical exams requiring hands-on evaluation.
• Treating severe symptoms needing emergency intervention.
• Administering intravenous or injectable medications.
• Diagnosing complications that require lab tests or imaging.
• Managing cases where the child’s condition rapidly worsens.

Understanding Scarlet Fever and Its Treatment

Scarlet fever is an infection caused by certain bacteria called group A Streptococcus. It usually affects children and causes a red rash, sore throat, and fever. Treatment often involves antibiotics to clear the infection and reduce the chance of complications. After your telemedicine visit, your healthcare provider may prescribe antibiotics and explain how to give them safely to your child.

What to Expect After the Telemedicine Visit

You may receive instructions on how to watch for changes in your child's symptoms. Typically, fever and rash should start improving within a few days of starting antibiotics. Your child might feel tired and have a sore throat for a little while longer. Keep track of their temperature and any new symptoms, and follow the medication schedule carefully.

When to Seek In-Person Care

If your child develops any of the following, seek urgent medical attention:

These signs may indicate a more serious problem that requires physical examination and treatment.

Supporting Your Child’s Recovery at Home

Ensure your child gets plenty of rest and fluids. Soft, cool foods may be easier to swallow if the throat is sore. Keep your child away from others until at least 24 hours after starting antibiotics to prevent spreading the infection. Maintain good hygiene by washing hands regularly and cleaning surfaces.

Follow-Up and Monitoring

Your healthcare provider may schedule a follow-up telemedicine visit or recommend an in-person check if symptoms do not improve as expected. Keep all appointments and report any concerns promptly. Completing the full course of antibiotics is important, even if your child feels better before finishing the medication.

How to prepare for your tele-visit

• Have your child's recent symptoms and their duration ready to discuss.
• Prepare a list of any medications your child is currently taking.
• Ensure you have a quiet, well-lit space for the telemedicine visit.
• Have a thermometer available to provide accurate temperature readings.
• Be ready to show the child's rash or throat area via video if requested.

After your tele-visit

• Follow the prescribed antibiotic schedule exactly as directed.
• Monitor your child's temperature and symptoms daily.
• Keep your child hydrated and rested.
• Avoid close contact with others until your healthcare provider says it is safe.
• Contact your healthcare provider if symptoms worsen or new red flags appear.

FAQs

How soon should my child start feeling better after starting antibiotics?

Most children begin to feel better within 24 to 48 hours after starting antibiotics. The fever and sore throat usually improve first, followed by the rash fading over several days.

Can scarlet fever be spread to other family members?

Yes, scarlet fever is contagious and spreads through respiratory droplets. It's important to practice good hand hygiene and keep your child away from others until at least 24 hours after starting antibiotics.

What if my child is allergic to the prescribed antibiotic?

Inform your healthcare provider about any known allergies before the visit. If an allergy is discovered later, contact your provider immediately to discuss alternative treatments.

Is it safe to give my child over-the-counter fever medicine?

Yes, medications like acetaminophen or ibuprofen can help reduce fever and relieve pain. Use them as directed and consult your healthcare provider if you have questions.

When should I schedule a follow-up appointment?

Follow-up may be recommended if symptoms do not improve within 48 to 72 hours or if complications are suspected. Your healthcare provider will advise you on the best timing.

Sources

1. Scarlet Fever — Centers for Disease Control and Prevention (CDC).
2. Scarlet Fever — MedlinePlus, U.S. National Library of Medicine.
3. Scarlet Fever: Symptoms and Causes — Mayo Clinic.
4. Scarlet Fever — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child's symptoms are severe or worsen, seek immediate medical attention.