It is seen in the early stage of scarlet fever or patients with prolonged fever. There may be white tongue coating, the tip of the tongue papillae enlarged red, late tongue coating completely disappeared, papillae enlarged strawberry-like. Strawberry Tongue Introduction Causes of Strawberry Tongue is mostly seen in scarlet fever, which is an acute respiratory infectious disease caused by group A hemolytic streptococcus. It is characterized by fever, pharyngitis, strawberry tongue, and a generalized red rash with flaky desquamation after the rash subsides. Rheumatic fever or acute glomerulonephritis occurs in a small number of children 2-3 weeks after the onset of the disease. Strawberry tongue may also be the result of zinc deficiency, as it appears in children with simple strawberry tongue and no other systemic symptoms.

Scarlet fever is an acute respiratory infection caused by beta (b) group A hemolytic streptococcus, which can also cause tonsillitis, dengue, rheumatic fever, endocarditis and localized infections.