Which is the recommended treatment for scarlet fever?

The recommended treatment for scarlet fever is Penicillin V. Scarlet fever, typically caused by group A Streptococcus, is characterized by a high fever, sore throat, and a distinctive red rash. Penicillin is the first-line treatment due to its efficacy against streptococcal infections. Penicillin V is specifically used because it is effective in treating the beta-hemolytic streptococcal pharyngitis that often accompanies scarlet fever, and it is well-tolerated in pediatric patients.

The choice of Penicillin V is particularly significant since not treating a streptococcal infection can lead to complications such as rheumatic fever. The use of this antibiotic also helps in eradicating the bacteria from the throat, reducing the risk of transmission.

While other antibiotics such as amoxicillin and azithromycin may also be effective against streptococcal infections, Penicillin V remains the standard treatment for scarlet fever due to its proven effectiveness and the familiarity of healthcare providers with its use in this context. Ceftriaxone, typically reserved for more severe or resistant infections, is not the first choice for uncomplicated scarlet fever.