Wednesday, 15 February 2017
Candida and alcoholism frequently occur together and perpetuate one another. It is unclear in some cases, which came first, the chicken or the egg; however, were you find one, you often find the other. This is due to the fact that yeast overgrowth can result in cravings for alcohol and the consumption of alcohol encourages the proliferation of yeast.
If this issue is not addressed, it leaves the individual in recovery at very high risk of relapse. This is true not only of alcohol addiction, but addiction of any kind. According to Joan Mathews-Larson, from the Health Recovery Center in Minnesota, they have found that about 55 percent of alcohol addicted women and 35 percent of alcohol addicted men have Candida yeast overgrowth.
For those who are not familiar with this issue, Candida yeast is an organism that resides in your gastrointestinal tract. It is supposed to be there in limited numbers as it performs many important functions. However, sometimes something goes awry, which allows the yeast organism to proliferate in very large numbers and take over all the healthy bacteria in your gut. This is when problems occur.
The toxins that the yeast emits can have a significant impact on brain function and any other organ and system in the body, which results in a wide array of psychological and physiological symptoms that can drive the individual in recovery back to the bottle or their substance of choice.
Some of the most common symptoms to be experienced include cravings for alcohol, sugar or carbs, followed by anxiety and depression, but it is often the root of mood swings, aggressive behavior, explosive anger and violence, hyperactivity, attention deficit, impaired memory, learning and cognitive functions, OCD, arthritis, headaches, migraines, loss of energy, sore throat, flatulence, IBS, eczema, recurring cough, MS, bloating, and much more. It can even be a factor in more serious conditions like Crohn’s disease, autism, prostatitis, MS, schizophrenia, paranoia and rheumatoid arthritis.
Candida overgrowth can play a significant role in hypoglycemia, as it will consume your glucose, and hypoglycemia can be a primary trigger for alcohol cravings and relapse.
Overgrowth of Candida develops for two primary reasons - diet and antibiotics.
Sugar, and any food that is broken down into sugar, is the primary source of food for yeast. So a diet that is high in sugar and carbohydrates will encourage yeast to proliferate. Furthermore, this type of diet is lacking in important nutrients that are needed to keep the immune system strong, and a weak immune system will also allow yeast to grow out of control.
It's important to be aware that alcohol is the most refined sugar you can consume. It does not even have to be digested; it is absorbed directly through the gut wall. So, when you drink alcohol, it is like your giving Candida yeast an IV of its food source. Thus, why Candida often results from alcoholism.
Antibiotics not only eradicate the bad bacteria that makes you sick, but they also eliminate all the good bacteria in your gut that helps keep you healthy. However, antibiotics do not kill Candida, so this permits it to proliferate and take over the gastrointestinal tract. Even if you aren't taking any antibiotics, they are present in traditional store bought meat and dairy products. So if you aren't eating organic and antibiotic-free, then you are consuming antibiotics unknowingly.
Other common contributors to Candida yeast overgrowth include birth control pills, medication for ulcers, antacids, steroids, insufficient hydrochloric acid levels, deficiency in nutrients, acidosis, heavy metal toxicity, consuming chlorinated water, toxins in the environment, inadequate digestive enzyme levels, and drugs that suppress the immune system.
Candida releases over 70 different toxins into your body, but the two we are most concerned about in relationship to alcoholism and addiction are ethanol and acetaldehyde.
First let's talk about ethanol. Ethanol is alcohol. Candida yeast survives by fermenting sugars to generate energy it needs to live. So, if you have Candida overgrowth and you eat sugar, or any type of carbohydrates, then Candida converts it into alcohol. Therefore, even though you have not drank any alcohol, alcohol is in your body. This often results in strong cravings for alcoholic beverages or sugar that can seriously sabotage your recovery program.
Candida creates alcohol as it processes the sugar in your body. If you ’re eating a diet high in sugar and refined carbohydrates, which most people are, you are giving the Candida an endless source of food that it continuously breaks down and produces more alcohol in the process. The alcohol works as a catalyst to provide a quick fix. Candida is craving the alcohol because it wants the sugar. Thus, this is often another one of the main reasons why all alcoholics are addicted to sugar in recovery.
A phenomenon called auto-brewery syndrome can occur, where the alcohol levels in the body are so high from Candida that the individual can actually feel and appear intoxicated. Alcohol can be detected in the bloodstream and the individual may even fail a breathalyzer test, even though they have not touched an alcoholic beverage. Naturally, if the recovering alcoholic has alcohol in their body from some other source, this can lead to cravings for a drink.
Next let's look at another one of the by-products of Candida called acetaldehyde. Acetaldehyde is a neurotoxin related to formaldehyde. As with any of the toxins that Candida creates, acetaldehyde can enter the bloodstream and travel to other parts of the body. One of the areas where it collects most frequently is the brain, where it can cause damage to brain function and structure and causes deficiencies in vitamin B1, niacin, acetyl coenzyme A, and pyridoxal-5-phosphate (P5P), and it destroys essential enzymes. All nutrients that are very important for brain chemistry and overcoming an addiction.
Acetaldehyde also has the bizarre ability to combine with two primary neurotransmitters in the brain, serotonin and dopamine and form tetrahydro-isoquinolines, which are substances that are very similar to opiates and thus simulate a similar kind of opiate high. In the case of the opiate addicted, this could lead to cravings for opiates, and for the alcohol addicted could trigger cravings for a drink. Acetaldehyde is also found in traffic exhaust and cigarette smoke and can enter the body through these sources as well. Thus, another one of the reasons as to why alcoholics must stop smoking as well, if they want to overcome their cravings.
Candida toxins can also disrupt the thyroid, upset hormone balance, impair the liver, deplete serotonin and cause elevated levels of norepinephrine.
All this impact on brain function and neurotransmitters is crucial, because, as you have learned on the pages of this website, it is imbalanced neurotransmitters that is the root of addiction. In order to achieve craving-free and life-long sobriety, these neurotransmitters must be restored to balance, and that is not possible if one is dealing with chronic yeast overgrowth.
Candida sets one up for a vicious cycle of a vast amount of psychological and physical symptoms by disrupting neurotransmitters, hormones, organs and systems that, if not understood, have a high probability of leading to addictive substances for relief, or relapse, if one is in recovery.
You can learn more about the connection between Candida and alcoholism in my self-help program, or my Clean and Sober book.
Doctors that may have knowledge about Candida go by titles such as a Doctor of Environmental Medicine, a Doctor of Orthomolecular Medicine, a Naturopathic Doctor, an Integrative Medicine Doctor or Functional Medicine Doctor. However, do your homework and be armed with extensive knowledge on the topic yourself, because even those treating Candida are often limited in their knowledge base and most do not understand its connection to alcohol addiction.
Mathews Larson, Joan, Ph.D. Seven Weeks to Sobriety: The Proven Program to Fight Alcoholism through Nutrition. Revised ed. (Fawcett Columbine, 1992; Ballantine Books, 1997).
Tuesday, 14 February 2017
From Wikipedia, the free encyclopedia
This article is about the disease. For Cee-Lo Green's backing band, see Scarlet Fever (band). For the song by Kenny Rogers, see Scarlet Fever (song).
|Strawberry tongue seen in scarlet fever|
|Classification and external resources|
|Patient UK||Scarlet fever|
Scarlet fever affects a small number of people who have either strep throat or streptococcal skin infections. The bacteria are usually spread by people coughing or sneezing. It can also be spread when a person touches an object that has the bacteria on it and then touches their mouth or nose. The characteristic rash is due to the erythrogenic toxin, a substance produced by some types of the bacterium. The diagnosis is typically confirmed by culturing the throat.
There is no vaccine. Prevention is by frequent handwashing, not sharing personal items, and staying away from other people when sick. The disease is treatable with antibiotics which prevents most complications. Outcomes with scarlet fever are typically good. Long-term complications as a result of scarlet fever include: kidney disease, rheumatic heart disease, and arthritis. It was a leading cause of death in children in the early 20th century.
- 1 Signs and symptoms
- 2 Pathophysiology
- 3 Diagnosis
- 4 Prevention
- 5 Treatment
- 6 Complications
- 7 Epidemiology
- 8 History
- 9 References
- 10 Further reading
- 11 External links
Signs and symptoms
- Sore throat
- Bright red tongue with a "strawberry" appearance
- Forchheimer spots (fleeting small, red spots on the soft palate)
- A characteristic rash, which:
- is fine, red, and rough-textured,
- blanches upon pressure,
- appears 12–72 hours after the fever starts,
- generally begins on the chest and armpits and behind the ears but may also appear in the groin,
- on the face, often shows as red cheeks with a characteristic pale area around the mouth (circumoral pallor),
- is worse in the skin folds (so-called Pastia's lines, where the rash runs together in the armpits and groin, appears and can persist after the rash is gone),
- may spread to cover the uvula
- begins to fade three to four days after onset, upon which desquamation (peeling) begins. "This phase begins with flakes peeling from the face. Peeling from the palms and around the fingers occurs about a week later." Peeling also occurs in the axilla, the groin, and the tips of fingers and toes[not in citation given]
RashThe rash is the most striking sign of scarlet fever. It usually appears first on the neck and face (often leaving a clear, unaffected area around the mouth). It looks like a bad sunburn with tiny bumps, and it may itch. It then spreads to the chest and back and finally to the rest of the body. In the body creases, especially around the underarms and elbows, the rash forms the classic red streaks known as Pastia's lines. On very dark skin, the streaks may appear darker than the rest of the skin. Areas of rash usually turn white (or paler brown, with dark complexioned skin) when pressed on. By the sixth day of the infection, the rash usually fades, but the affected skin may begin to peel.
Other featuresUsually, other symptoms help to confirm a diagnosis of scarlet fever, including a reddened and sore throat, a fever at or above 38 °C (100.4 °F), and swollen glands in the neck. Scarlet fever can also occur with a low fever. The tonsils and back of the throat may have a whitish coating, or appear red, swollen, and dotted with whitish or yellowish specks of pus. Early in the infection, the tongue may have a whitish or yellowish coating. Also, an infected person may have chills, body aches, nausea, vomiting, and loss of appetite.
In rare cases, scarlet fever may develop from a streptococcal skin infection like impetigo. In these cases, the person may not develop soreness of the throat.
CourseWhen scarlet fever occurs because of a throat infection, the fever typically subsides within 3 to 5 days, and the sore throat passes soon afterward. The scarlet-fever rash usually fades on the sixth day after sore-throat symptoms started, and begins to peel (as described above). The infection itself is usually cured with a 10-day course of antibiotics, but it may take a few weeks for tonsils and swollen glands to return to normal.
PathophysiologyScarlet fever is usually spread by the aerosol route (inhalation), but may also be spread by skin contact or by fomites. Although it is not normally considered a food-borne illness, an outbreak of scarlet fever due to infected chicken meat has been reported in China.
Asymptomatic carriage may occur in 15–20% of school-age children.
The incubation period is 1–4 days.
MicrobiologyThe disease is caused by secretion of pyrogenic exotoxins by the infecting Streptococcus bacteria. Streptococcal pyrogenic exotoxin A (speA) is probably the best studied of these toxins. It is carried by the bacteriophage T12 which integrates into the streptococcal genome from where the toxin is transcribed. The phage itself integrates into a serine tRNA gene on the chromosome.
The T12 virus itself has not been placed into a taxon by the International Committee on Taxonomy of Viruses. It has a double-stranded DNA genome and on morphological grounds appears to be a member of the Siphoviridae.
The speA gene was cloned and sequenced in 1986. It is 753 base pairs in length and encodes a 29.244 kiloDalton (kDa) protein. The protein contains a putative 30- amino-acid signal peptide; removal of the signal sequence gives a predicted molecular weight of 25.787 kDa for the secreted protein. Both a promoter and a ribosome binding site (Shine-Dalgarno sequence) are present upstream of the gene. A transcriptional terminator is located 69 bases downstream from the translational termination codon. The carboxy terminal portion of the protein exhibits extensive homology with the carboxy terminus of Staphylococcus aureus enterotoxins B and C1.
Streptococcal phages other than T12 may also carry the speA gene.
DiagnosisComplete blood count findings characteristic of scarlet fever show a marked increase in white blood cell count with neutrophilia and conserved or increased eosinophils, high erythrocyte sedimentation rate and C-reactive protein (both indications of inflammation), and elevation of antistreptolysin O titer. Blood culture is rarely positive, but the streptococci can usually be demonstrated in throat culture.
Differential diagnosisCases need to be differentiated from Far East scarlet-like fever, an infectious disease first reported in the 1950s from Russia. Because of its similar clinical presentation to scarlet fever, it was initially thought to be caused by a Streptococcus. It is now known to be caused by a Gram negative bacillus—Yersinia pseudotuberculosis.
Kawasaki's disease is another important differential, especially in its incomplete form. Scarlet fever appears similar to Kawasaki's disease in some aspects, but lacks the eye signs or the swollen, red fingers and toes. However, the signs of Kawasaki's disease may manifest over a few days, rather than at initial presentation. Complications of missed Kawasaki's disease are significant but rare, and include a 1–2% death rate and coronary artery aneurysms.
VaccinesNo vaccines protect against S. pyogenes infection. A vaccine developed by George and Gladys Dick in 1924 was discontinued due to poor efficacy and the introduction of antibiotics. Difficulties in vaccine development include the considerable strain variety of S. pyogenes present in the environment and the amount of time and number of people needed for appropriate trials for safety and efficacy of any potential vaccine.
There used to be a diphtheria scarlet fever vaccine. It; however, was found not to be effective. This product was discontinued by the end of World War II.
TreatmentThe treatment and course of scarlet fever is the same as that of strep throat.
Antibiotic resistanceA drug-resistant strain of scarlet fever, resistant to macrolide antibiotics such as erythromycin, but retaining drug-sensitivity to beta-lactam antibiotics such as penicillin, emerged in Hong Kong in 2011, accounting for at least two deaths in that city—the first such in over a decade. About 60% of circulating strains of the group A Streptococcus that cause scarlet fever in Hong Kong are resistant to macrolide antibiotics, says Professor Kwok-yung Yuen, head of Hong Kong University's microbiology department. Previously, observed resistance rates had been 10–30%; the increase is likely the result of overuse of macrolide antibiotics in recent years.
ComplicationsThe complications of scarlet fever include septic complications due to spread of streptococci in blood, and immune-mediated complications due to an aberrant immune response. Septic complications—today rare—include ear and sinus infection, streptococcal pneumonia, empyema thoracis, meningitis, and full-blown sepsis, upon which the condition may be called malignant scarlet fever.
Immune complications include acute glomerulonephritis, rheumatic fever, and erythema nodosum. The secondary scarlatinous disease, or secondary malignant syndrome of scarlet fever, includes renewed fever, renewed angina, septic ear, nose, and throat complications, and kidney infection or rheumatic fever, and is seen around the 18th day of untreated scarlet fever.
An association between scarlet fever and hepatitis has been recognized for several decades. The causal mechanism is unknown.
EpidemiologyThis disease is most common in children ages 5–15; males and females are equally affected. By the age of 10 years, 80% of children have acquired protective antibodies against streptococcal pyrogenic exotoxins, preventing development of scarlet fever.
History Hippocrates, writing around 400 BC, described the condition of a patient with a sore throat and skin ulcers, but it is not entirely clear from his description whether the patient had scarlet fever. In the 10th and 11th centuries, the physicians Rhazes, Ali Abbas, and Avicenna described an illness that was measles-like, but with a more vivid colour and more dangerous. Again, it is not certain that these descriptions refer to scarlet fever.
The first description of the disease in the medical literature appeared in the 1553 book De Tumoribus praeter Naturam by the Sicilian anatomist and physician Giovanni Filippo Ingrassia, where he referred to it as rossalia or rosania. It was redescribed by Johann Weyer during an epidemic in lower Germany between 1564 and 1565; he referred to it as scalatina anginosa. The first unequivocal description of scarlet fever appeared in a book by Joannes Coyttarus of Poitiers, De febre purpura epidemiale et contagiosa libri duo, which was published in 1578 in Paris. Daniel Sennert of Wittenberg described the classical 'scarlatinal desquamation' in 1572 and was also the first to describe the early arthritis, scarlatinal dropsy, and ascites associated with the disease.
In 1827, Bright was the first to recognize the involvement of the renal system in scarlet fever.
The association between streptococci and disease was first described in 1874 by Billroth, discussing patients with wound infections. Billroth also coined the genus name Streptococcus. The organism was first cultured in 1883 by the German surgeon Friedrich Fehleisen. He cultured it from perierysipelas lesions. Rosenbach gave the organism its current name (Streptococcus pyogenes) in 1884.
Also in 1884, the German physician Friedrich Loeffler was the first to show the presence of streptococci in the throats of patients with scarlet fever. Because not all patients with pharyngeal streptococci developed scarlet fever, these findings remained controversial for some time. The association between streptococci and scarlet fever was confirmed by Alphonse Dochez and George and Gladys Dick in the early 1900s.
Nil Filatow (in 1895) and Clement Dukes (in 1894) described an exantematous disease which they thought was a form of rubella, but in 1900, Dukes described it as a separate illness which came to be known as Dukes' disease, Filatov’s disease, or fourth disease. However, in 1979, Keith Powell identified it as in fact the same illness as the form of scarlet fever that is caused by staphylococcal exotoxin and is known as staphylococcal scalded skin syndrome.
Scarlet fever serum from horses was used in the treatment of children beginning in 1900 and reduced mortality rates significantly.
In 1906, the Austrian pediatrician Clemens von Pirquet postulated that disease-causing immune complexes were responsible for the nephritis that followed scarlet fever.
Bacteriophages were discovered in 1915 by Frederick Twort. His work was overlooked and bacteriophages were later rediscovered by Felix d'Herelle in 1917. The specific association of scarlet fever with the group A streptococci had to await the development of Lancefield's streptococcal grouping scheme in the 1920s. George and Gladys Dick showed that cell-free filtrates could induce the erythematous reaction characteristic of scarlet fever, proving that this reaction was due to a toxin. Karelitz and Stempien discovered that extracts from human serum globulin and placental globulin can be used as lightening agents for scarlet fever and this was used later as the basis for the Dick test. The association of scarlet fever and bacteriophages was described in 1926 by Cantucuzene and Boncieu.
The discovery of penicillin and its subsequent widespread use has significantly reduced the mortality of this once feared disease.
The first toxin that causes this disease was cloned and sequenced in 1986 by Weeks and Ferretti.
Dick test and vaccine A broth culture filtrate from an erythrogenic toxin-producing group A streptococcus was injected intracutaneously into susceptible persons. In those susceptible, erythematous and oedematous skin reactions developed by 24 hours after injection. A second injection of antitoxin into the site neutralized the reactions. Nonreactors were considered to have sufficient antibodies to the toxin, thus were not susceptible to scarlet fever.
Gladys Henry Dick and George Frederick Dick developed a vaccine in 1924 that was later eclipsed by penicillin in the 1940s. Broth filtrates were used as the basis for the patent the Dicks took out on their vaccine in 1924 in the United Kingdom and in 1925 in the United States.
- "Scarlet Fever: A Group A Streptococcal Infection". Center for Disease Control and Prevention. January 19, 2016. Retrieved 12 March 2016.
- Shorter Oxford English dictionary. United Kingdom: Oxford University Press. 2007. p. 3804. ISBN 0199206872.
- Ralph, AP; Carapetis, JR (2013). "Group a streptococcal diseases and their global burden.". Current topics in microbiology and immunology. 368: 1–27. doi:10.1007/82_2012_280. PMID 23242849.
- Quinn, RW (1989). "Comprehensive review of morbidity and mortality trends for rheumatic fever, streptococcal disease, and scarlet fever: the decline of rheumatic fever.". Reviews of infectious diseases. 11 (6): 928–53. doi:10.1093/clinids/11.6.928. PMID 2690288.
- Smallman-Raynor, Matthew (2012). Atlas of epidemic Britain : a twentieth century picture. Oxford: Oxford University Press. p. 48. ISBN 9780199572922.
- Smallman-Raynor, Andrew Cliff, Peter Haggett, Matthew (2004). World Atlas of Epidemic Diseases. London: Hodder Education. p. 76. ISBN 9781444114195.
- Sotoodian, Bahman; Rao, Jaggi (9 November 2015). "Scarlet Fever". MedScape. Retrieved 9 January 2016.
- Yang, S. G.; Dong, H. J.; Li, F. R.; Xie, S. Y.; Cao, H. C.; Xia, S. C.; Yu, Z.; Li, L. J. (2007). "Report and analysis of a scarlet fever outbreak among adults through food-borne transmission in China". Journal of Infection. 55 (5): 419–424. doi:10.1016/j.jinf.2007.07.011. PMID 17719644.
- Zabriskie, J. B. (1964). "The role of temperate bacteriophage in the production of erythrogenic toxin by Group A Streptococci". Journal of Experimental Medicine. 119 (5): 761–780. doi:10.1084/jem.119.5.761. PMC . PMID 14157029.
- Krause, R. M. (2002). "A Half-century of Streptococcal Research: Then & Now". Indian J Med Res. 115: 215–241. PMID 12440194.
- McShan, W. M.; Ferretti, J. J. (1997). "Genetic diversity in temperate bacteriophages of Streptococcus pyogenes: identification of a second attachment site for phages carrying the erythrogenic toxin A gene". J Bacteriol. 179 (20): 6509–6511. PMC . PMID 9335304.
- Weeks, C. R.; Ferretti, J. J. (1986). "Nucleotide sequence of the type A streptococcal exotoxin (erythrogenic toxin) gene from Streptococcus pyogenes bacteriophage T12". Infect Immun. 52 (1): 144–150. PMC . PMID 3514452.
- Yu, C. E.; Ferretti, J. J. (1991). "Molecular characterization of new group A streptococcal bacteriophages containing the gene for streptococcal erythrogenic toxin A (speA)". Mol Gen Genet. 231 (1): 161–168. doi:10.1007/BF00293833. PMID 1753942.
- "Initiative for Vaccine Research (IVR)—Group A Streptococcus". World Health Organization. Retrieved 15 June 2012.
- "Rudolf Franck - Moderne Therapie in Innerer Medizin und Allgemeinpraxis - Ein Handbuch der Medikamentösen, Physikalischen und Diätetischen Behandlungsweisen der Letzten Jahre". Springer Verlag. Retrieved 09 January 2017. Check date values in:
- Ellis, Ronald W.; Brodeur, Bernard R. (2012). New Bacterial Vaccines. Springer Science & Business Media. p. 158. ISBN 9781461500537.
- "Second HK child dies of mutated scarlet fever". Associated Press (online). 22 June 2011. Retrieved 23 June 2011.
- Elishkewitz, K.; Shapiro, R.; Amir, J.; Nussinovitch, M. (2004). "Hepatitis in scarlet fever". Isr Med Assoc J. 6 (9): 569–570. PMID 15373323.
- Czarkowski, M. P.; Kondej, B.; Staszewska, E. (2011). "Scarlet fever in Poland in 2009". Przegl Epidemiol. 65 (2): 209–212. PMID 21913461.
- Zabawski Jr, Edward J. "Scarlet Fever: Epidemiology". Medscape. Retrieved 20 October 2014.
- Czarkowski, M. P.; Kondej, B. (2010). "Scarlet fever in Poland in 2008". Przegl Epidemiol. 64 (2): 185–188. PMID 20731219.
- Rolleston, J. D. (1928). "The History of Scarlet Fever". BMJ. 2 (3542): 926–929. doi:10.1136/bmj.2.3542.926. PMC . PMID 20774279.
- Dukes, Clement (30 June 1900). "On the confusion of two different diseases under the name of rubella (rose-rash).". The Lancet. 156 (4011): 89–95. doi:10.1016/S0140-6736(00)65681-7.
- Weisse, Martin E (31 December 2000). "The fourth disease, 1900–2000". The Lancet. 357 (9252): 299–301. doi:10.1016/S0140-6736(00)03623-0. PMID 11214144.
- Powell, KR (January 1979). "Filatow-Dukes' disease. Epidermolytic toxin-producing staphylococci as the etiologic agent of the fourth childhood exanthem.". American journal of diseases of children (1960). 133 (1): 88–91. doi:10.1001/archpedi.1979.02130010094020. PMID 367152.
- Melish, ME; Glasgow, LA (June 1971). "Staphylococcal scalded skin syndrome: the expanded clinical syndrome.". The Journal of Pediatrics. 78 (6): 958–67. doi:10.1016/S0022-3476(71)80425-0. PMID 4252715.
- Morens, David M; Katz, Alan R; Melish, Marian E (31 May 2001). "The fourth disease, 1900–1881, RIP". The Lancet. 357 (9273): 2059. doi:10.1016/S0140-6736(00)05151-5. PMID 11441870.
- Huber, B. (2006). "100 years of allergy: Clemens von Pirquet—his idea of allergy and its immanent concept of disease". Wien. Klin. Wochenschr. 118 (19–20): 573–579. doi:10.1007/s00508-006-0701-3. PMID 17136331.
- Cantacuzène, J.; Bonciu, O. (1926). "Modifications subies par des streptocoques d'origine non scarlatineuse au contact de produits scarlatineux filtrès". CR Acad Sci Paris (in French). 182: 1185–1187.
- Dick, G. F.; Dick, G. H. (1924). "A skin test for susceptibility to scarlet fever". J Am Med Assoc. 82 (4): 265–266. doi:10.1001/jama.1924.02650300011003.
- Rolleston JD (November 1928). "The history of scarlet fever". British Medical Journal. 2 (3542): 926–9. doi:10.1136/bmj.2.3542.926. PMC . PMID 20774279.
|Wikimedia Commons has media related to Scarlet fever.|
- Scarlet Fever from PubMed Health
Numbered Diseases of Childhood