This time in Hanoi and some northern provinces have fever virus, while the hand, foot and mouth epidemic is still in circulation. Fever, rash are common symptoms in both diseases, and the parents if no note is unmistakable.
As the recent deaths in Hanoi, she onset with fatigue, vomiting, fever and was diagnosed with fever virus monitoring. However, a day after she did not have a fever, began to appear as dotted notes rash on the hands, hand, foot and mouth suspected problems. Then the results of samples tested positive for young hands, foot and mouth virus EV71.
Dr. Tran Minh Dien, deputy director of the Central Pediatrics Hospital, said hand, foot and mouth disease diagnosis is based primarily on clinical manifestations, rather than waiting to test. So, doctor, people can even distinguish the two diseases. Specifically:
Fever virus:
- Starting from the period is 6 months old infants with fever virus, sometimes a high fever 38.5 degrees, 39.5 degrees, continuous fever. Antipyretic medication, the child support, but then fever, fever may last 2-4 days, even 6 days.
- In addition to fever, the child may be accompanied by the expression on respiratory tract infections such as cough, runny nose ...
- But in terms of the whole situation, the child still awake, playing well, examination found no signs of infection in the throat, lungs, intestinal tract ...
- After the fever, rash youth, but can the thin, scattered, but also the whole body grows, the alternating red, at least as papules, often with glands behind the ears.
- Fever virus can go away in 2-4 days. Children may have fever virus back with a frequency of 2-3 times, even 5-6 times a year.
- The disease can occur in any age.
Hand, foot and mouth
- Depending on the disease that can manifest typical or not. Children can be continued high fever 39, 40 degrees C and does not meet antipyretics, but children are only a mild fever.
For example, with fulminant disease progression is very rapid, with severe complications such as circulatory failure, respiratory distress, coma leading to death within 2-4 days. For example they can not sign a rash of unknown or only the mouth sores or symptoms of neurological, cardiovascular, respiratory, mouth ulcers, but no rash.
- However, most children will experience four stages of the disease typically include incubation, onset (fever, fatigue, sore throat ...), all development stages (oral ulcers, in the form of water simulation palms, feet, knees ...) and remissions. Also, despite being a fever but touching his arms and legs feel cold rejuvenated.
- Children often rash with fever, while virus fever is a rash after the fever.
- 3-5 days after onset, the child recovered completely without complications.
- If there are complications usually occur the first day or two things such as encephalitis (negative signs of consciousness, vomiting young paddy vomiting ...), myocarditis, tired children fainting, rapid heart beat ...
- More common in children under 5 years old, especially concentrated in the age group under 3 years.
In addition to fever virus, also need to distinguish hand, foot and mouth disease with skin rash such as:
- Allergic reactions: erythema multiforme, no water burns.
- Latex dermatitis: a red, painful, pus.
- Chickenpox: simulation of water, found in many age groups, scattered all over.
- Dengue haemorrhagic fever: petechiae, bruising of the blood, mucous membrane bleeding.
Just because some patients with atypical hand foot mouth to Dr. Case also recommended, if the fever is continuous fever despite what should be taken to the doctor immediately. It is important when children are fever, parents should not only depend on the need to antipyretics to children in an environment where fresh air, warm towel wipe the armpit, groin, forehead ... for children to reduce fever.
In these cases indicated in the treatment (only oral ulcers, and may include skin lesions), their parents should pay attention to provide adequate nutrition, nursing infant to continue breast feeding fever 6 hours one way, oral hygiene. In addition to your baby to rest, avoid excitement, again re-examined in 1-2 days 5-10 days of illness.
Besides, when severe signs such as fever higher than 39 degrees C, rapid breathing, shortness of breath, myoclonus, distressed, run more, fussy, restless sleep, coma, convulsions .. shall be re-examined immediately.
With the kids away, no re-examination conditions, with severe manifestations such as tachycardia, myoclonus, go unsteadiness, drowsiness, high fever ... the hospital will be appointed.
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