Roseola

Question 1

Roseola ‘Rose 3’ mnemonic

Answer 1

Roseola
Common in age < 3
Fever lasts 3 days
Rash last for 3 days post fever
3+3 = HHV-6

Question 2

What are the initial symptoms of roseola?

Answer 2

Sudden high fever (often >39.5°C), sore throat, runny nose, cough, swollen lymph nodes in the neck, swollen eyelids, and loss of appetite lasting 3–5 days.

Question 3

When does the roseola rash appear?

Answer 3

The rash appears as the fever subsides, typically after 3–5 days of fever.

Question 4

What complications can roseola cause?

Answer 4

Febrile seizures in about 10–15% of cases; otherwise, it is usually a benign, self-limiting illness.

Question 5

Describe the rash of roseola.

Answer 5

Pink or red small spots or patches, starting on the torso, then spreading to the face, neck, and limbs; usually not itchy or uncomfortable; lasts 1–2 days.

Question 6

When should you seek urgent medical advice for a child with roseola?

Answer 6

If the child is under 3 months with a fever ≥38°C, fever lasting more than 5 days, refusing fluids, showing signs of dehydration, or has seizures.

Question 7

How is roseola transmitted?

Answer 7

Through respiratory droplets and contact with contaminated surfaces; it spreads similarly to the common cold.

Question 7

How is roseola treated?

Answer 7

Supportive care: rest, fluids, and fever relief with paracetamol or ibuprofen