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Scarlet fever is caused by a toxin occasionally produced by the Streptococcus pyogenes … the tips of fingers and toes may peel. Some may experience high fever, nausea and vomiting. …
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https://www.nwhu.on.ca/ourservices/PreventingInfectiousDiseases/Pages/Strep-Throat-Scarlet-Fever.aspx