It can be serious. Once the high temperature has passed you do not need to keep your child away from nursery if they're feeling well enough to attend. There's no need to wait until the rash disappears. Page last reviewed: 07 January Next review due: 07 January Check if your child has roseola If your child has roseola, at first they may have: a sudden high temperature cold-like symptoms such as a sore throat, runny nose and a cough loss of appetite swollen eyelids and swollen glands in their neck These symptoms last 3 to 5 days, before a rash appears.
It occurs mostly in the spring and fall. It may take between five to 15 days for a child to develop symptoms of roseola after being exposed to the disease. A child is probably most contagious during the period of high fever, before the rash occurs, making it more likely to spread among children.
Each child may experience symptoms differently, but, in general, the most common signs include:. As the fever decreases, a pink rash, with either flat or raised lesions, starts to appear on the trunk and then spreads to the face, arms and legs. The most serious complication that can occur with roseola is febrile seizures. This means that as the child's temperature increases, there is a chance of the child having a seizure that is directly related to the fever. The symptoms of roseola may resemble other skin conditions or medical problems.
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The Royal Children's Hospital Melbourne accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed in these handouts. Information contained in the handouts is updated regularly and therefore you should always check you are referring to the most recent version of the handout.
The onus is on you, the user, to ensure that you have downloaded the most up-to-date version of a consumer health information handout. The Royal Children's Hospital Melbourne. Roseola infantum. Roseola infantum Roseola infantum is a common, mild, viral infection that can cause a temperature and rash in babies and young children.
Signs and symptoms If your child has roseola, they may have a sudden high temperature, which usually lasts between three to five days.
How is roseola spread? Care at home Most of the time, roseola does not need any professional medical treatment. Paracetamol can be used if your child has a high temperature and seems uncomfortable or irritable. See our fact sheet Pain relief for children.
Offer your child plenty of fluids water, breastmilk or formula to keep them well hydrated during a fever. Antibiotics are not given because antibiotics do not treat viruses. When to see a doctor You should see your GP if your child: is lethargic very sleepy, hard to wake has fewer wet nappies than usual your child has a fever that does not get better after 48 hours has a convulsion a fit that lasts less than five minutes You should call an ambulance immediately if: your child has a convulsion that lasts more than five minutes your child does not wake up after a convulsion If your child is unwell with a fever and a skin rash small bright red spots or purple spots or unexplained bruises that does not turn to skin-colour blanch when you press on it, this may be a sign of meningococcal infection see our fact sheet Meningococcal infection.
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