Hospital: Recently, there has been a high incidence of herpes, with a high fever of 40 ℃! It can be contagious! Many parents are holding their children and urgently sending them for medical treatment | Herpes | Parents

About 40 ℃

Many people think of the recent weather

But recently, the 40 ℃ that has made many parents worried

But my own child suddenly had a high fever

Recently, there have been many parents

Posting on social media

▽

Holding a child with a hot body

Hurriedly arrived at the hospital

Only then did I realize that the disease was "herpetic pharyngitis"

Even the family's top two treasures have been infected

Many parents have also left messages expressing

My child has been hit recently

Huang Lishu, Director of the Infectious Diseases Department at Zhejiang University Children's Hospital, revealed that with the arrival of summer, herpetic pharyngitis and hand, foot, and mouth disease have entered a high incidence season. Currently, relevant children come to the clinic every day for treatment, especially herpetic pharyngitis, which is relatively large in quantity.

Judging from the comments from parents

The child has a high fever, mouth pain, rash, etc

It is a common symptom

So, what exactly is herpetic pharyngitis?

How should we handle it?

What is herpetic pharyngitis?

Herpetic angina is an acute upper respiratory infectious diseases of children caused by enterovirus infection. It is prevalent in spring and summer, and is infected by fecal oral route, respiratory droplets, contact with children's oral and nasal secretions, and contaminated hands and objects.

What are the high-risk groups?

People of different age groups can all suffer from the disease, with preschool children aged 1 to 6 being a high-risk group. Clustered cases are more likely to occur in places with concentrated susceptible populations such as childcare institutions, early education institutions, and communities.

What are the symptoms of herpetic pharyngitis?

Acute onset, often sudden fever and sore throat, mostly low or moderate fever. Some children may have a fever of over 40 ℃, which can cause seizures. High fever usually lasts for 2-4 days;

May be accompanied by coughing, runny nose, vomiting, diarrhea, and sometimes headaches, abdominal pain, or muscle pain. Severe pharyngeal pain can affect swallowing;

During the fever period, older children may experience poor mental state, drowsiness, and poor appetite. Younger children may experience salivation, crying, and anorexia due to oral pain. Some children may have severe symptoms, often occurring in children under 3 years old. These symptoms include persistent fever that is not easy to subside, shock, limb tremors, breathing, and increased heart rate, similar to the clinical manifestations of severe hand, foot, and mouth disease.

Local signs: At the beginning, the pharynx is congested with scattered gray white blisters, surrounded by red halos with a diameter of 2-4mm and varying numbers. After 1-2 days, it ruptures and forms small ulcers. This type of mucosal rash is often seen on the pharyngeal arch, soft palate, uvula, and tonsils, and can also be seen in other parts of the oral cavity.

Some critically ill children may experience complications such as encephalitis, aseptic meningitis, acute delayed paralysis, pulmonary edema and bleeding, myocarditis, and even death.

Related to hand, foot and mouth disease, syncytial virus infection

Compared to flu symptoms,

What are the differences in symptoms of herpetic pharyngitis?

Herpetic pharyngitis and hand foot mouth disease are both caused by enterovirus infections, with the main pathogens being Coxsackie virus type A and enterovirus type 71.

Herpetic pharyngitis mainly manifests as herpes, ulcers, and other lesions in the pharyngeal isthmus and oral mucosa. The lesions are relatively limited and there will be no rash in other areas;

But in addition to herpes in the isthmus, hand, foot, and mouth disease often presents with rash and herpes on the hands, feet, buttocks, perianal area, and even the skin of the limbs.

It should be noted that early hand, foot, and mouth disease may only manifest as herpetic pharyngitis.

Compared with respiratory syncytial virus infection, herpetic pharyngitis has milder respiratory symptoms and fewer common respiratory syncytial virus infections such as wheezing, hypoxemia, and pneumonia.

Influenza has obvious seasonal epidemic characteristics. It usually occurs frequently in winter and spring. In addition to fever, cough, runny nose and other upper respiratory tract infection symptoms, it can also be manifested as fatigue, headache, muscle soreness and discomfort. The systemic symptoms are relatively obvious; Herpetic pharyngitis is more common in spring and summer, with mild systemic symptoms except for fever and sore throat.

The child has herpetic pharyngitis

How should we handle it?

Pazematous angina is a viral infectious diseases. At present, there is no specific drug treatment, mainly symptomatic support treatment.

General handling method:

① Pay attention to isolation, do a good job of respiratory isolation, and isolate at home for 2 weeks.

② Pay attention to rest, maintain indoor cleanliness and air circulation.

③ Light diet, not suitable for consuming stimulating foods such as hot, spicy, sour, coarse, hard, etc. You should eat liquid or semi liquid food, and eat less and more meals.

④ Take good oral care, rinse with diluted saline or physiological saline after meals, and young children can use physiological saline to wipe their mouth.

⑤ Children with eating difficulties and persistent high fever should receive appropriate fluid replacement to prevent electrolyte disorders.

⑥ Observe the condition, closely monitor body temperature, and be vigilant against the occurrence of febrile seizures; Close observation of the child's mental and dietary status, such as any signs of mental illness, drowsiness, irritability, pale complexion, etc. Attention should be paid to the occurrence of complications.

How to prevent it?

Maintain good personal hygiene habits.

Wash hands frequently, do not let children drink raw water, and eat raw and cold food.

Children's toys and frequently contacted items should be regularly cleaned and disinfected. Avoid close contact with children with herpetic pharyngitis.

It's currently summer vacation

More children going out to play

The risk of infection from various infectious diseases has correspondingly increased

Not only herpetic pharyngitis, but also hand, foot, and mouth disease

And various skin diseases

Do you have any good methods to prevent such diseases?

Welcome to share in the comment section!