"It takes time to get rid of the fever in a handsome way."
When 13-year-old Xiao Lei wrote this sentence, I am afraid that he still feels quite cool in his heart. Looking back on his experience of struggling with the disease, his strength is indeed cool enough.
According to Xiao Lei's mother, Xiao Lei's child is usually very well-behaved, learning is also very good, so good to what extent, jumping directly from the sixth grade to the third grade, this kind of multi-grade cross-level is really not much, Xiao Lei is one of them. However, it was such a "other person's child" who was both good at character and learning, who once fell into despair.
<h1 class="pgc-h-arrow-right" data-track="7" > 40 degrees! Try all kinds of methods to not reduce fever! </h1>
On October 12th, anxious XiaoLei's mother took Xiaolei to the pediatric department of Xi'an Daxing Hospital, according to Xiaolei's mother, since October 4th, Xiaolei began to have intermittent fever, and the highest body temperature reached 40 degrees! Chills have developed. Not only that, but there was also a dense small rash on Xiao Lei's body.
After dermatological consultation, measles with pneumonia is suspected. On the one hand, Xiao Lei's blood samples were sent to the CDC to test whether the diagnosis was confirmed as an infectious disease measles, on the other hand, through physical examination and blood test, it was found that Xiao Lei's lymph nodes were enlarged, hepatosplenomegaly, and liver function damage... All manifestations are well in line with the clinical symptoms of measles. The most difficult thing is that Xiao Lei's high fever always does not get better, even if he uses anti-fever drugs, once the effect of the medicine passes, the body temperature will go up again.
High fever is not only, repeated cures, coupled with other symptoms, Wang Ling, director of the pediatric center with rich clinical experience, believes that Xiao Lei is actually not measles, but a relatively rare infectious mononucleosis!
It wasn't long before the results of the disease control came out: to rule out the possibility of measles! Combined with blood tests, a definitive diagnosis: infectious mononucleosis!
Director Wang Ling stressed that this disease is a pediatric infectious disease, not a statutory infectious disease, nor is it a national monitoring infectious disease, and there is no need to isolate and treat it.
<h1 class="pgc-h-arrow-right" data-track="77" > symptomatic effect! 13-year-old handwritten thank you letter! </h1>
Identify the cause and treat it symptomatically. Not long after, Xiao Lei's high fever was controlled, and looking at Xiao Lei whose mental state gradually improved, his mother cried with joy.
Xiao Lei's mother recalled that she had just come to the hospital, "Because of anxiety, I was always angry with the doctors and nurses, but they never complained, and the doctor in charge, Cheng Min, also specifically found me and patiently channeled my emotions." Speaking of which, Little Ray's mother is both grateful and a little embarrassed.
After a week of treatment, Xiao Lei's fever has not been repeated, returned to normal body temperature, and the rash on his body has also gone down a lot. Before leaving the hospital, this "little prodigy" specially wrote a thank-you letter in hand, with crooked words, but with another cuteness and sincerity.
This 13-year-old child said to Director Wang Ling in the letter, "You regard the hospital as a home, treat every patient as a friend, you say that a job must be done to the extreme, in order to invest more enthusiasm, thank you, under your ultimate care, I have achieved happiness, and you are well-deserved angels in white." ”
<h1 class="pgc-h-arrow-right" data-track="78" > what is infectious mononucleosis</h1>
Infectious mononucleosis is an acute infectious disease caused by Epstein-Barr virus, which mainly affects children and adolescents, and Epstein-Barr virus is a DNA virus with latent and transformative characteristics.
The disease can occur throughout the year, spread through close contact such as blood, respiratory droplets, kisses, etc., and is more common in children and adolescents, and can also be seen in young and middle-aged people over 40 years old, but it is relatively rare.
Patients often suffer from colds, colds, frequent staying up late, etc. after the body's resistance declines, and then feel the EBV, thereby inducing infectious mononucleosis.
<h1 class="pgc-h-arrow-right" data-track="79" > the main symptom</h1>
fever
Generally, there is fever, body temperature 38 ~ 40 ° C, no fixed heat type, the heat range is mostly 1 to 2 weeks, and a few can reach several months. Symptoms of poisoning are usually not severe.
Angina pharyngeal angina
Most children have angina with sore throat, clinically visible throat congestion, tonsil enlargement, and some children with white exudate or pseudomembrane formation on the surface of the tonsils, which is easily confused with acute purulent tonsillitis.
Lymphadenopathy
After EBV infection, enlargement of lymph nodes can occur throughout the body, but the clinical practice is dominated by non-purulent swelling of the cervical lymph nodes, which often resolve weeks after fever recedes, but can also resolve in months.
Liver and spleen are enlarged
It is also one of the clinical manifestations of this disease, a small number of children can have abnormal liver function; splenomegaly is mainly mildly enlarged, and there is also a risk of spleen rupture. Children in the acute and convalescent stages should have strenuous exercise and collision, and rest should be the mainstay.
rash
Some children may have a multimorphic rash, such as papules, maculopapular rashes, urticaria, scarlet fever-like macules, hemorrhagic rashes, etc. More common in the trunk. The rash usually appears on the 4th to 6th and lasts for about 1 week.
<h1 class="pgc-h-arrow-right" data-track="80" > how to prevent it</h1>
Infectious mononucleosis has no effective preventive measures, there is no reliable preventive vaccine, still need to rely on autoimmunity to resist the virus invasion, so it is recommended that everyone maintain good living and eating habits, appropriate exercise, enhance the body's immunity, avoid staying up late, overeating and other bad life behaviors, for people with low immunity, in daily life to avoid colds, colds, avoid to places with more people, for children should try to avoid close contact such as kisses.
Wang Ling, Director of pediatric center of Xi'an Daxing Hospital
Former chief physician of the Department of Pediatrics of Tangdu Hospital of the Fourth Military Medical University, he was hired as a special expert by Xijing Hospital, Yanda Affiliated Hospital, and the Second Affiliated Hospital of Western Medicine. He has won two third prizes for scientific and technological progress in the army, the second prize for scientific and technological achievements in Shaanxi Province, the silver medal of the "three excellent" exhibition of the whole army, and the gold medal of the National Children's Digestion Conference. Undertake 1 national fund and 1 provincial fund project. He specializes in the diagnosis and treatment of diseases of various systems in pediatrics and neonatology.
Correspondent: Li Chenguang
Editor-in-charge: Liu Shuhai
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