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Can babies get Roseola more than once?



 
 
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  #1  
Old October 18th 04, 10:59 PM
sher
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Default Can babies get Roseola more than once?

Last July, my son had Roseola - at least that's what the doctor
diagnosed over the phone without ever seeing him. It looks like he
has it again. The symptoms have been the same - high fever and
irritibility for a day, then a red spotty rash that pops out after the
fever breaks. The rash is identical to the one he had in July and
does not look like Fifth Disease. I searched a bit and found several
sources that state that a roseola infection provides life long
immunity. Has anyone here ever heard of someone having Roseola twice?

Thanks!

~ Sher
  #2  
Old October 18th 04, 11:42 PM
Carol Ann
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Default

Last July, my son had Roseola - at least that's what the doctor
diagnosed over the phone without ever seeing him. It looks like he
has it again. The symptoms have been the same - high fever and
irritibility for a day, then a red spotty rash that pops out after the
fever breaks. The rash is identical to the one he had in July and
does not look like Fifth Disease. I searched a bit and found several
sources that state that a roseola infection provides life long
immunity. Has anyone here ever heard of someone having Roseola twice?

Thanks!

~ Sher


Repeat cases may occur but are uncommon..........

http://health.yahoo.com/search/healt...s&p=id%3A20441

October 18, 2004 02:38:37 AM PDT , KidsHealth.org

Roseola (also known as sixth disease, exanthem subitum, and roseola
infantum) is a viral illness in young children, most commonly affecting
children between the ages of 6 months and 2 years. It is typically marked by
several days of high fever, followed by a distinctive rash just as the fever
breaks.
Roseola can be caused by two common and closely related viruses: human
herpesvirus (HHV) type 6 and type 7. These two viruses belong to the same
family as the better known herpes simplex viruses (HSV), but HHV-6 and HHV-7
do not cause the cold sores and genital herpes infections that HSV can
cause.

Signs and Symptoms
A child with roseola typically develops a mild upper respiratory
illness, followed by a high fever (often over 103 degrees Fahrenheit, or
39.5 degrees Celsius) 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 child's 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. Signs of a febrile seizure include:

a..
b.. unconsciousness
c.. 2 to 3 minutes of jerking or twitching in the arms, legs, or
face
d.. loss of control of the bladder or bowels
Contagiousness
Roseola is contagious and spreads through tiny drops of fluid from the
nose and throat of infected people. These drops are expelled when the
infected person talks, laughs, sneezes, or coughs. Then if other people
breathe the drops in or touch them and then touch their own noses or mouths,
they can become infected as well.

The viruses that cause roseola do not appear to be spread by children
while they are exhibiting symptoms of the illness. Instead, someone who has
not yet developed symptoms often spreads the infection.

Prevention
There is no known way to prevent the spread of roseola. Because the
infection usually affects young children but rarely adults, it is thought
that a bout of roseola in childhood may provide some lasting immunity to the
illness. Repeat cases of roseola may occur, but they are not common.

Incubation
The average incubation period is about 9 to 10 days after exposure to
the virus.

Duration
The fever of roseola lasts from 3 to 7 days, followed by a rash
lasting from hours to a few days.

Professional Treatment
To make a diagnosis, your child's doctor first will take a history and
do a thorough physical examination. A diagnosis of roseola is often
uncertain until the fever drops and the rash appears, so the doctor may
order tests to make sure that the fever is not caused by another type of
infection.

The illness typically does not require professional treatment, and
when it does, most treatment is aimed at reducing the high fever.
Antibiotics cannot treat roseola because it is caused by a virus, not a
bacterium.



Home Treatment
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.
Avoid giving aspirin to a child who has a viral illness because the use of
aspirin in such cases has been associated with the development of Reye
syndrome, which can lead to liver failure and death.

To prevent dehydration from the fever, encourage your child to drink
clear fluids such as water with ice chips, children's electrolyte solutions,
flat sodas like ginger ale or lemon-lime (stir room-temperature soda until
the fizz disappears), or clear broth.

When to Call Your Child's Doctor
Call your child's doctor if your child is lethargic or not drinking or
if you cannot keep your child's fever down. If your child has a seizure,
seek emergency care immediately.

Updated and reviewed by: Wayne Ho, MD
Date reviewed: November 2003
Originally reviewed by: Joel Klein, MD



HTH,



Carol Ann


 




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