The rash takes days to develop. Children with measles will also usually have a rash before a fever. The roseola rash, on the other hand, tends to appear as the fever is diminishing or after it has passed, which usually takes 3—5 days. The rash tends to appear on the torso and may progress to the face and limbs. Children with roseola usually recover with no need for treatment from a doctor. This is the most common complication of the infection.
It is also worth noting that babies and toddlers with weakened immune systems tend to experience more severe symptoms of this infection. As a result, children with cancer or who have had a transplant are more at risk of reactivation than other children. Also, HHV-6 infection has been associated with :.
People with measles often recover with no complications. However, some people develop hearing loss or pneumonia, and measles can lead to inflammation of the brain, which can be life-threatening. The risk of complications is higher in children and babies under 5.
There is currently no vaccine for roseola. Measles, meanwhile, is a preventable illness with a very effective vaccine. The vaccine is given in two doses: one when a baby is 12—15 months old, and one when they are 4—5 years old. This usually happens so that a child is vaccinated before they enter school. In some cases, however, a child may need to get vaccinated on a different schedule. There is no specific treatment for roseola.
Over-the-counter pain relief medication such as acetaminophen Tylenol or ibuprofen Advil or Motrin can usually control the fever. Do not use aspirin to treat pain for roseola. It is important to let the baby rest and make sure that they receive plenty of fluids. It is important to follow good hygiene, such as by washing the hands frequently, to prevent the infection from spreading.
It is important to seek medical attention right away if a baby has a high fever, a persistent rash, or both. If there are signs of a febrile seizure — a seizure brought on by a high fever — seek immediate care. Signs of a febrile seizure include:. A doctor can diagnose roseola by checking for symptoms and considering their medical history. 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.
The rash: is made up of pinkish-red spots, patches or bumps starts on the chest, tummy and back, before spreading to the face, neck and arms is not usually itchy or uncomfortable normally fades and disappears within 2 days Credit:. Do let your child rest if they feel unwell make sure they drink lots of fluids give them children's paracetamol or children's ibuprofen if a high temperature makes them feel uncomfortable — check the dose on the bottle.
Urgent advice: Get an urgent GP appointment or call if your child:. Medications to reduce fever include acetaminophen Tylenol and ibuprofen Advil, Motrin. A person should always follow the advice on the packaging, regarding correct doses and timings, or talk to a doctor if they are not sure. Children under 16 years old should not be given aspirin unless a doctor recommends it.
A doctor may prescribe the antiviral medication ganciclovir Cytovene for some people with weak immune systems to try to prevent the virus from replicating its DNA. Antibiotics cannot be used to treat roseola or other viral infections, as they will not work against viruses. Children may be more comfortable resting in bed until their fever subsides. However, if they are well enough to engage in play and other activities, they should not be forced to rest completely.
However, it is important for them not to overexert themselves or be around others while they are still considered to be contagious. Children can return to normal activities once they have been fever-free for 24 hours and do not have any other significant symptoms.
There is no vaccine available to prevent roseola. Prevention involves limiting exposure to infected people. For this reason, it is important that children with roseola do not come into contact with other children until their fever has broken. People who have contact with roseola should wash their hands frequently to avoid passing the virus on, especially to someone who does not have the antibodies to fight it.
It is also a good idea to wipe down household surfaces regularly with antimicrobial sprays. People can reduce the risk of infection by teaching children hygienic practices, such as ensuring they sneeze and cough into tissues and immediately dispose of the tissue afterward.
Also, it is best to avoid allowing them to share cups, plates, or utensils with others to reduce their exposure to infected saliva.
Roseola is usually not a serious illness. It usually resolves on its own, without complications, within a week or so. With home treatment, symptoms can be managed, and discomfort can be reduced. Also, the vast majority of children acquire roseola before kindergarten, which protects them against an acute repeat infection later in life.
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