Infantile herpangina symptom?

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summary

Infantile herpangina is an acute, infectious, febrile disease caused by many coxsackieviruses of group A and occasionally other enteroviruses. It is characterized by herpetic ulcerative mucosal damage. Infantile herpangina symptom? Let's talk about it.

Infantile herpangina symptom?

The disease has an epidemic trend, common in infants, clinical characteristics of sudden high fever with sore throat, headache, anorexia, and often neck, abdominal and limb pain.

Vomiting and convulsion often occur in infants. Within 2 days of onset, a few (rarely more than 12) small (1-2mm in diameter) gray white herpes appeared in oral mucosa, surrounded by a red halo. It was mostly seen in the front of tonsil, but it could also be located in soft palate, tonsil, uvula, tongue and so on. In the next 24 hours, the blister burst into shallow ulcer, the diameter was generally less than 5mm, and healed within 1-5 days. Complications are rare: symptoms generally disappear within 7 days. It can produce lasting immunity after infection, but other types of viruses or other enteroviruses in group A may also cause relapse.

Diagnosis can be made according to symptoms and characteristic oral lesions. It is best to confirm by removing the virus from the lesion or by increasing the titer of characteristic antibodies, but these tests are not recommended for routine use. Differential diagnosis includes herpetic stomatitis (characterized by onset in any season, larger and longer lasting ulcers), recurrent aphthous ulcer and Bednar aphthous ulcer (rarely occurring in the pharynx, but generally without systemic symptoms). Coxsackievirus type 10 can also cause similar lesions (lymphadenitis), but the oropharyngeal lesions are prominent, showing white to yellow nodules. The treatment is symptomatic.

matters needing attention

After children suffering from herpetic pharyngitis, nursing is also very important. Good nursing can help to reduce symptoms and improve prognosis. The nursing points include: encouraging children to drink more boiled water to keep their oral cavity clean; Give light, digestible liquid food or semi liquid food, such as milk, lotus root powder, porridge, vegetable soup, etc; Pay attention to observe the frequency of defecation and stool characteristics of children, if constipation, give a small dose of laxative oral, in order to keep the stool unobstructed; To give children with fever frequently wipe bath, frequently change underwear, in order to protect the skin.