Signs and symptoms of Strep A and Scarlet Fever as third child dies from infection

A primary school pupil has died and a second is in hospital amid a deadly Strep A outbreak one week after two pupils died in Wales and Surrey from the same virus.

The latest death in west London has sparked calls for an investigation into the bacteria outbreak although health officials consider the outbreak controlled and unrelated to earlier incidents, reports the Daily Mail.

Last week, the UK Health Security Agency South East’s health protection consultant Dr Claire Winslade confirmed the death of a year 1 pupil in Surrey.

She said: “We are extremely saddened to hear about the death of a pupil at Ashford Church of England School, and our thoughts are with their family, friends and the school community.

“As a precautionary measure, we have recommended antibiotics to pupils and staff in the same year groups as the individuals affected. We have provided advice to the school to help prevent further cases and will continue to monitor the situation.”

Group A streptococcus (or Strep A) is known to cause scarlet fever, throat infections and, in very rare cases, invasive disease.

This can occur when bacteria get into parts of the body where bacteria are not usually found, such as the blood, muscle or the lungs.

It can happen if the bacteria get past a person’s defences, such as through an open wound or when a person’s immune system is depleted.

Most people who come into contact with the bacteria remain well and symptom-free.

The bacteria can be found in the throat and on the skin and people may carry it without displaying any symptoms.

It can live in throats and on hands for long enough to allow easy spread between people through sneezing, kissing and skin contact.

Invasive Strep A can cause further complications. Symptoms include:

Dr Yimmy Chow, health protection consultant at UKHSA London, said: “Group A streptococcal infections usually result in mild illness, and information has been shared with parents and staff about the signs and symptoms.

“These include a sore throat, fever and minor skin infections, and can be treated with a full course of antibiotics from the GP. In rare incidences, it can be a severe illness and anyone with high fever, severe muscle aches, pain in one area of the body and unexplained vomiting or diarrhoea should call NHS 111 and seek medical help immediately.”

The infection can lead to Scarlet Fever. The illness is usually mild, but is highly infectious.

Symptoms include a sore throat, headache and fever with a characteristic fine, pinkish or red body rash with a sandpapery feel.

You can spread scarlet fever to other people up to 6 days before you get symptoms until 24 hours after you take your 1st dose of antibiotics.