Red Net Moment May 25 (Correspondent Li Ya) Fever, anorexia, drooling, acne in the mouth, sore throat... It is neither a cold nor a hand-foot-and-mouth disease, what is the problem? It turned out to be herpetic pharyngitis. If you, as a parent, don't know anything about it, it will be easy to be impatient and busy after encountering it. Let's unveil the mystery of herpetic pharyngitis today.
What is herpetic pharyngitis?
Herpetic pharyngitis is an acute infectious pharyngitis caused by an enterovirus characterized by acute fever and herpes ulcers in the pharynx, which is transmitted mainly through the gastrointestinal tract (fecal-oral), respiratory endocrine, and certain items in close contact. It occurs in all seasons, usually in summer and autumn, and mostly in children under 5 years of age.
Manifestations of the course of herpetic pharyngitis
1. Incubation period
There are no obvious symptoms at this stage, but the virus quietly replicates in large quantities in the body.
2. High fever period
This stage is manifested by a sudden high fever of 38-40 ° C, which can be accompanied by symptoms such as sore throat and anorexia.
Countermeasures: If the child does not have abnormal conditions such as lack of energy and severe pain, he can be observed at home first and actively depyretic treatment to avoid high fever convulsions.
3. Herpetic phase
This stage is characterized by the appearance of white herpes in the pharynx-cheek area, with obvious symptoms and no herpes or rashes in other areas.
4. Ulcer stage
This stage is manifested as antipyretic, the herpes at the throat and cheek will break and ulcerate, and the baby will refuse to eat, cry, drool and other symptoms due to pain, but it also means that it is about to heal.
Response
At this stage, parents can take some measures (such as: drinking cold white for the child, gargling the child with warm salt water, feeding the child some antipyretic analgesics, etc.) to relieve the child's pain. At the same time, pay attention to a light diet, appropriate supplementation of nutrition and water, pay attention to home isolation rest and personal hygiene, and avoid cross-infection.
How to distinguish herpetic pharyngitis & hand-foot-and-mouth disease?
Herpetic pharyngitis and hand-foot-and-mouth disease are a pair of "cousins" who are acute infectious diseases caused by enteroviruses, and children under 5 years of age are high-prevalent. But their clinical manifestations are not the same.
Herpes location is not the same. Herpetic pharyngitis manifests as herpes in the pharynx, and in addition to the mouth, hand-mouth-foot disease can also appear maculopapular or herpes on the hands, feet, buttocks, and other parts.
The risk of onset is different. Herpetic pharyngitis is fierce, often with clinical manifestations such as hyperthermia convulsions, most of the symptoms are mild, self-limiting disease, rarely serious complications and severe cases, the general course of the disease is 1-2 weeks. According to the statistics of the relevant departments, patients with hand-foot-and-mouth disease have a 1% chance of infection complications, especially children under 3 years of age, commonly with myocarditis, pulmonary edema, aseptic meningitis and other complications, sometimes even life-threatening.
Is there a specific drug for the treatment of herpetic pharyngitis?
At present, there is no specific drug to eat for herpetic pharyngitis, and parents should choose medication according to the child's condition. Some antipyretic drugs or analgesic drugs to relieve sore throat may be used appropriately, and antibiotics are ineffective against herpetic pharyngitis.
If your baby has a persistent high fever > 48h, frequent vomiting, lack of energy, drowsiness, dyspnea or abnormal frequency, you should seek medical attention in time.
How to prevent herpetic pharyngitis?
Cultivate good hygiene habits, regularly clean and disinfect the baby's daily necessities and toys; avoid taking the child to crowded and poor air mobility places during the high incidence of disease; strengthen physical exercise and enhance the child's immunity; can be vaccinated early, EV71 has a certain preventive effect on hand-foot-and-mouth disease and herpetic angina caused by EV71 virus, although it cannot prevent these two diseases 100%, but can reduce the occurrence of severe illness and death.