{"id":15234,"date":"2020-08-31T12:15:49","date_gmt":"2020-08-31T16:15:49","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=15234"},"modified":"2020-08-31T12:15:49","modified_gmt":"2020-08-31T16:15:49","slug":"roseola-in-kids","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/roseola-in-kids\/","title":{"rendered":"What is roseola? How do you treat it?"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent&#8217;s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series <a href=\"https:\/\/www.singlecare.com\/blog\/tag\/common-childhood-illnesses\/\">here<\/a>.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"#what-is-roseola\">What is roseola?<\/a> | <a href=\"#symptoms\">Symptoms<\/a> | <a href=\"#diagnosis\">Diagnosis<\/a> | <a href=\"#treatments\">Treatments<\/a> | <a href=\"#prevention\">Prevention<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Roseola was the first illness I faced as a new parent beyond the odd sniffles. My then 13-month-old son spiked a sudden fever in the afternoon, but otherwise seemed perfectly fine. It would be a few days before the rash appeared and we learned that while the fever was scary, it wasn\u2019t dangerous. The cause of the fever was a common and usually harmless childhood illness: roseola.<\/span><\/p>\n<h2><b><a id=\"what-is-roseola\"><\/a>What is roseola?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Roseola (sometimes called sixth disease or roseola infantum in babies) is a common illness in childhood that is characterized by a high<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/fever-temperature\/\"> <span style=\"font-weight: 400;\">fever<\/span><\/a><span style=\"font-weight: 400;\"> followed by a rash. \u201cMost children have been infected with roseola by the time they start kindergarten,\u201d says Soma Mandal, MD, a board-certified internist at<\/span> <a href=\"https:\/\/www.summitmedicalgroup.com\/doctor\/smandal\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Summit Medical Group<\/span><\/a><span style=\"font-weight: 400;\"> in Berkeley Heights, New Jersey.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Roseola is contagious for children and adults, but because most people experience it in childhood and gain immunity, it is rare for adults to catch it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cRoseola can be caused by different viruses, but the most common cause is a virus called human herpesvirus 6,\u201d Dr. Mandal says. \u201cTypically, this occurs from asymptomatic shedding of the virus in secretions of close contacts.\u201d Another, less common, virus that can cause roseola is human herpesvirus 7.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Roseola<\/span><a href=\"https:\/\/www.cedars-sinai.org\/health-library\/diseases-and-conditions---pediatrics\/r\/roseola-in-children.html\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">typically occurs<\/span><\/a><span style=\"font-weight: 400;\"> in children younger than 2 and is most contagious while the child has a fever for three to five days, before the rash appears. Although measles, rubella, fifths disease (parvovirus), and roseola all present with rashes, they are distinct illnesses from each other.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cRoseola is spread by droplets when an infected person, speaks, coughs or sneezes and then it gets on the mucous membranes (eyes, nose, and mouth) of the recipient of the infection,\u201d says Leann Poston, MD, a medical contributor for <\/span><a href=\"https:\/\/ikonhealth.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Ikon Health<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Roseola is rarely serious. Occasionally, the <\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/training\/cme\/ccm\/Fifth_Disease_F.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">fast-rising high fever caused by roseola<\/span><\/a><span style=\"font-weight: 400;\"> can cause a febrile seizure or aseptic meningitis, which will resolve. While these seizures are scary for parents, they are rarely serious and not associated with epilepsy or other seizure disorders. Febrile seizures occur in about <\/span><a href=\"https:\/\/kidshealth.org\/en\/parents\/roseola.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">10% to 15%<\/span><\/a><span style=\"font-weight: 400;\"> of young children who have roseola.<\/span><\/p>\n<h2><b><a id=\"symptoms\"><\/a>Roseola symptoms<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cIn some people, the infection causes very few to no symptoms,\u201d says Dr. Poston. For those who are symptomatic, symptoms<\/span><a href=\"https:\/\/www.cedars-sinai.org\/health-library\/diseases-and-conditions---pediatrics\/r\/roseola-in-children.html\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">can include<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<p><b>A high fever<\/b><span style=\"font-weight: 400;\"> (usually between 101 degrees F and 105 degrees F) that often comes on suddenly, lasts three to five days, then suddenly goes away. Some children have a runny nose, cough, or sore throat before developing a fever.<\/span><\/p>\n<p><b>A pinkish-red rash<\/b><span style=\"font-weight: 400;\"> that may or may not be slightly raised that appears as the fever goes away (12 to 24 hours later). The rash starts on the trunk and spreads to the neck, arms, legs, mouth, and face.<\/span> <span style=\"font-weight: 400;\">The rash lasts<\/span><a href=\"https:\/\/www.seattlechildrens.org\/conditions\/a-z\/roseola\/\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">one to three days<\/span><\/a><span style=\"font-weight: 400;\">, or for<\/span><a href=\"https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/skin\/Pages\/Human-Herpes-Virus-6.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">just a few hours<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The roseola rash typically has the following characteristics:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pinkish-red in color<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">May be flat or raised<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Starts on the trunk and usually spreads to other areas<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Spots turn white when touched<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Individual spots might have a lighter \u201chalo\u201d around them<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Lasts from a few hours to a few days<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some children with roseola behave normally and appear to feel well, despite the high temperature. Most children feel well by the time the rash appears. Other symptoms include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Swollen lymph nodes, especially in the head or neck<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Mouth sores<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Decreased appetite<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Irritability<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ear pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Swelling of the eyelids<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Swollen glands<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Mild diarrhea<\/span><\/li>\n<\/ul>\n<p><b>An important note:<\/b><span style=\"font-weight: 400;\"> Descriptions of rashes are usually characterized by how they look on light skin. Skin conditions may look different on darker skin. Photos of rashes available both online and<\/span><a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/11\/04\/774910915\/diagnostic-gaps-skin-comes-in-many-shades-and-so-do-rashes\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">in medical schools<\/span><\/a><span style=\"font-weight: 400;\"> tend to show the rash on light skin. More research and resources are needed to help parents and healthcare professionals recognize what these rashes look like on darker skin.<\/span><\/p>\n<h2><b><a id=\"diagnosis\"><\/a>How is roseola diagnosed?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Roseola is diagnosed based on symptoms. Because symptoms of roseola can be similar to other illnesses, it\u2019s a good idea to get a proper diagnosis from a family healthcare provider or pediatrician.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">See a healthcare provider within 24 hours if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The fever comes back.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The rash gets worse.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">You think the child needs to be examined, but it\u2019s not urgent.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">See a healthcare provider immediately if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">There are large blisters on the skin.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The child looks or acts very sick.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">You think the child needs to be examined, and it\u2019s urgent.<\/span><\/li>\n<\/ul>\n<p><b>Call 911 immediately<\/b><span style=\"font-weight: 400;\"> if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The rash becomes purple or blood-colored with fever.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">You think your child has a life-threatening emergency.<\/span><\/li>\n<\/ul>\n<h2><b><a id=\"treatments\"><\/a>How to treat roseola in children<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">In most cases, roseola will resolve on its own and there is no treatment, but there are some ways you can make your child feel better. Treatment for roseola is the same as for high fevers from other viruses. It can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.singlecare.com\/blog\/children-pain-relievers-fever-reducers\/\"><span style=\"font-weight: 400;\">Fever-reducing medications<\/span><\/a><span style=\"font-weight: 400;\"> such as<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/acetaminophen-childrens\"> <span style=\"font-weight: 400;\">acetaminophen<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tylenol-childrens\"><span style=\"font-weight: 400;\">Tylenol<\/span><\/a><span style=\"font-weight: 400;\">) or<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen-childrens\"><span style=\"font-weight: 400;\"> ibuprofen<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-advil\"><span style=\"font-weight: 400;\">Advil<\/span><\/a><span style=\"font-weight: 400;\">\/<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-motrin\"><span style=\"font-weight: 400;\">Motrin<\/span><\/a><span style=\"font-weight: 400;\">). Do not give ibuprofen to babies younger than six months old unless advised by a healthcare provider. Never give children Aspirin as it can be life-threatening when combined with a viral illness.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dress the child in lightweight clothing.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Keep the child hydrated with breast milk, formula, water, popsicles,<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pedialyte\"> <span style=\"font-weight: 400;\">Pedialyte<\/span><\/a><span style=\"font-weight: 400;\">, and other clear fluids.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Do not<\/span> <span style=\"font-weight: 400;\">try to reduce a fever with an icy or cold bath. And never use alcohol rubs. This is ineffective and dangerous.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotics will not work for roseola because it is a viral infection, not caused by bacteria. In rare cases,<\/span><a href=\"https:\/\/www.merckmanuals.com\/home\/children-s-health-issues\/viral-infections-in-infants-and-children\/roseola-infantum\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">antivirals<\/span><\/a><span style=\"font-weight: 400;\">, such as foscarnet or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ganciclovir-sodium\"><span style=\"font-weight: 400;\">ganciclovir<\/span><\/a><span style=\"font-weight: 400;\"> may be prescribed to children with roseola if they have weakened immune systems. These<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/safe-medication-storage-home-children\/\"> <span style=\"font-weight: 400;\">medications<\/span><\/a><span style=\"font-weight: 400;\"> are dosed by age and weight, and must be given under the supervision of a healthcare provider.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Of course, a little TLC (tender loving care) goes a long way when little ones aren\u2019t feeling well. Let the child rest, and give lots of reassurance if they feel yucky. Since illnesses that cause <\/span><a href=\"https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/skin\/Pages\/Roseola-Infantum.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">fever<\/span><\/a><span style=\"font-weight: 400;\"> can be contagious, it\u2019s wise to keep your child away from other children, at least until you\u2019ve conferred with his or her provider. Once the fever is gone for 24 hours, even if the rash is present, your child can return to child care or preschool, and resume normal contact with other children. Your provider may need to write a note for your child to return to school.\u00a0<\/span><\/p>\n<h2><b><a id=\"prevention\"><\/a>Roseola prevention<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Most people do not get roseola more than once. Like chicken pox and other herpes family viruses, the HHV-6 and HHV-7 viruses stay in the system for life. While they usually stay dormant, they can reappear and cause fever and infection in the lungs or brain if a person\u2019s immune system becomes weakened (through disease or medication), but this is very rare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is no known way to prevent roseola other than basic good hygiene practices such as handwashing, covering sneezes and coughs, and keeping healthy children away from infected children. There is no<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/vaccination-statistics\/\"> <span style=\"font-weight: 400;\">vaccine<\/span><\/a><span style=\"font-weight: 400;\"> for roseola.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While roseola is very common and most children will contract it, it is comforting for parents to know it is usually harmless and goes away on its own.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent&#8217;s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series here. What is roseola? | Symptoms | Diagnosis | Treatments | Prevention Roseola was the [&hellip;]<\/p>\n","protected":false},"author":65,"featured_media":15251,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[3564,19608,15105],"coauthors":[8622],"class_list":["post-15234","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-children","tag-common-childhood-illnesses","tag-skincare","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Roseola in kids: A parent\u2019s guide to diagnosis and treatment<\/title>\n<meta name=\"description\" content=\"Roseola is a common childhood illness characterized by a high fever followed by a rash. Here\u2019s how to recognize and treat roseola in children.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/roseola-in-kids\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A parent&#039;s guide to treating roseola in kids\" \/>\n<meta property=\"og:description\" content=\"The illness features a high fever and rash\u2014and is common in children\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/roseola-in-kids\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-31T16:15:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/08\/Blog_083120_Roseola.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Heather M. 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