Scarlet Fever/Strep A - When is it an emergency?

[DammitOedipus]

DS(2.5) was given antibiotics for Strep A today. He has a fever of 40.1, strawberry tongue, and red lips. He isn't eating and is drinking less than usual, but is still weeing.

I am a worrier and am definitely in panic mode because he seems to have become worse in the last 2 hours (falling asleep on DH which he hasn't done since 5 months old) and refusing Calpol, but his fever is the same as when he saw the GP. He seems drowsy, but chats without becoming confused and still requested bedtime stories and songs. He is now asleep in bed.

I will be checking on him every hour or so, but at what point should I call 111 or go to A&E?

@Jollychristmas He is a little bit better, thanks. Now super snotty and his voice is hoarse, but the fever finally came down a bit last night. Unfortunately he has become a medicine refuser (Calpol and Nurofen included) because the "strawberry" antibiotics taste so disgusting. So I get to force penicillin down him 4x per day for 10 days. Wahoo.

Thanks for the update. Glad he has turned a corner.