Understanding Roseola (Sixth Disease)
What is it?
Roseola is a common viral illness in children under age 3. It’s caused by a human herpesvirus and typically begins with a high fever that suddenly resolves, followed by a pink, spotty rash.
- Sudden high fever (often 102–105°F) lasting 3–5 days
- Fever resolves suddenly, followed by rash (usually on chest/back, spreading outward)
- Rash is not itchy or painful
- Mild symptoms: runny nose, cough, diarrhea
- Child usually remains alert and playful between fevers
- School/Daycare Guidelines
- Return once fever-free for 24 hours (without medication)
- Rash does not need to be gone—it is not contagious
When to Manage at Home
✅ You can manage your child's roseola at home when:
- Fever has resolved or is improving with medication
- Rash appeared after fever broke
- Child is alert, drinking fluids, urinating, and generally acting like themselves
How to Treat at Home
For fever:
- Use Tylenol (acetaminophen) or Ibuprofen as directed
- Avoid overdressing; use light clothing
- Use cool compresses or lukewarm baths
- Hydration:
- Offer fluids like water, breastmilk, formula, or Pedialyte
- Watch for signs of dehydration (dry mouth, decreased urine)
Safe Medications
- Acetaminophen (Tylenol) – safe for children > 3 months old
- Ibuprofen – safe for children > 6 months old
- Never give aspirin to children
When to Contact Poppins
📱 Contact us again when:
- Fever lasts more than 5 days
- Child refuses to eat or drink
- You’re unsure about the rash or illness progression
When to Visit Your Pediatrician
🩺 Go to an in-person appointment when:
- Child seems unusually irritable, lethargic, or won’t stay hydrated
- You’re unsure if the rash is from another cause (e.g., allergy, other viral illness)
When to Go to the ER
🚨 Seek immediate emergency care if your child is:
- Seizure (especially febrile seizure)
- Signs of severe dehydration (no urine for 8+ hrs, dry lips, listless behavior)
- Trouble breathing or persistent vomiting
If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7.
