A 4-year-old child has fever, sore throat, and a sandpaper-like rash. Rapid antigen testing is positive for group A streptococcus. He has no drug

Question

A 4-year-old child has fever, sore throat, and a sandpaper-like rash. Rapid antigen testing is positive for group A streptococcus. He has no drug allergies and can take oral medication. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat with oral penicillin V or amoxicillin

Answer

Treat with oseltamivir

Answer

Give doxycycline for 10 days

Answer

Use topical mupirocin alone

Answer

Withhold antibiotics because rash is present

Scarlet fever — USMLE Step 3 MCQ

A 4-year-old child has fever, sore throat, and a sandpaper-like rash. Rapid antigen testing is positive for group A streptococcus. He has no drug allergies and can take oral medication. Which of the following is the most appropriate next step in management?