Treatment Of Scarlatina Simplex Or Simple Scarlet-fever

Sources: Hydriatic Treatment Of Scarlet Fever In Its Different Forms

_Scarlatina simplex_, or _simple scarlet-fever_ (9), without

inflammation of the throat, is generally so mild in its course, that it

requires little or no treatment. However, I would not have parents look

upon it as "scarcely a disease," as neglect and exposure may bring on

bad consequences (7 and 25). If the fever and heat are very moderate,

the first days an ablution of the body with cool water (say 70 deg.), twice

a day, is sufficient. The patient had better be kept in bed, or, if

unwilling to stay there, he should be warmly dressed and move about his

room, the temperature of which, in this case, should not be below 70 deg.

Fahrenheit, and the windows should be shut, as long as the patient is

out of bed.

When the period of efflorescence, or standing out of the rash, is over,

packs ought to be given, to extract the poison completely from the

system, and to prevent any sequels, such as anasarca, &c. (25). Should

the rash suddenly disappear before the fifth or sixth day, or should it

linger in coming out, a long pack will bring it out and remove all

danger. The packs, once begun, should be continued, once a day, during

and a few days after desquamation. The patient may go out on the tenth

or twelfth day warmly dressed, after his pack and bath, and walk for

half an hour; sitting down or standing still to talk in the open air is

not to be permitted. During, and some time after convalescence, the

patient should take a cool bath, or a cold ablution every morning,

immediately on rising from bed, and walk after it as soon as he is

dressed. In very cold and disagreeable weather, the walk should be taken

in the house; but the patient should not sit down, or stand about,

before circulation and warmth are completely restored in every part of

the body, especially in the feet. I cannot insist too much upon exercise

being taken immediately after every bath, as, without it, the bath may

do more harm than good, and dressing, with many, will take so much time,

that they will take cold before getting their clothes on.

If the patient should take cold, or feel otherwise unwell, during

convalescence, the packs must be resorted to again, and continued till

he is quite well.