1-3 days
May include fever, sore throat, swollen glands, and headache, plus a very fine raised rash. Appears most often on the neck, chest, in folds of armpit, elbow, groin and inner thigh. A swollen, red tongue may appear. Later there may be peeling of skin on fingertips and toes.
Contact with respiratory tract secretions of an infected person.
If untreated can infect others for up to 10-21 days. If treated with antibiotics, will not be infectious after 24 hours.
Exclude until 24 hours after treatment has started and child is without fever for 24 hours.
Clean and disinfect soiled articles and surfaces.
Thorough and frequent hand washing by staff and children.