-
Clinical manifestations of hand, foot and mouth disease (EV71) are mostly infants and young children under 5 years old, with typical maculopapular rashes and herpeti-like lesions on the hands, feet, mouth, **, and mucous membranes, accompanied by catarrhal symptoms. 1) Typical cases: the incubation period is generally 2 to 7 days, there is no obvious prodromal symptoms, and most patients have a sudden onset.
About half of the patients had fever 1 2 days before the onset of the disease or at the same time of the onset of the disease, most of them were around 38 C for 2 3 days, and a few patients were more than 3 4 days old. Fever is almost always present with central nervous system comorbidities and lasts for a long time. Some patients have mild symptoms at the beginning, such as cough, runny nose, nausea, vomiting, etc.
Because of the pain of oral mucosal ulcers, the child has salivation and refuses to eat. Oral mucosal rash appears relatively early, mainly on the tongue and cheeks, and often on the labial-dental side. A maculopapular rash or herpes appears in distal areas such as the hands and feet.
The maculopapular rash darkens from red to dark in about 5 days and then resolves; Herpes is round or oval in shape, flat and convex, with a cloudy fluid inside, and the length and diameter are consistent with the direction of the striae, such as the size of soybeans. Maculopapular rashes and herpes in the distal area of the hands and feet are generally painless and itchy, and they heal without leaving a trace. Hand, foot, and mouth lesions may not all be present in the same patient.
2) Atypical and sporadic cases: the rash is only manifested on a certain part of the patient's body, and the maculopapular rash or herpes is sparse and atypical, which is often difficult to distinguish from the eruptive febrile disease, and the etiology and serological examination must be performed. 3) Comorbidities:
Some can be combined with myocarditis, meningitis, chivalous paralysis, pulmonary edema, etc., but aseptic encephalitis, myocarditis and so on are the most common. Onset season: It can occur all year round, and is more common in April and September.
-
As for what pathogen is caused by hand, foot and mouth disease, it is impossible to know if it is hand, foot and mouth disease, the situation is as follows: hand, foot and mouth disease is an infectious disease caused by enterovirus, which mostly occurs in children under 5 years old, can cause mouth ulcers, herpes in the hands, feet, oral cavity and other parts, and a small number of children can cause myocarditis, pulmonary edema, aseptic meningoencephalitis and other complications. In some critically ill children, the disease progresses rapidly and can eventually lead to death.
Hand, foot and mouth disease (HFMD) transmission route 1Contact with sick people**. 2.
Through items such as hands, towels, handkerchiefs, etc., contaminated with the virus. 3.Transmission of throat secretions (droplets) from the patient's throat.
4.Drinking contaminated water. acute onset, fever; Scattered herpes appear in the oral mucosa, the size of a grain of rice, and the pain is obvious; Rice-sized blisters appear on the palms or soles of the feet, and occasionally the buttocks or knees may be affected.
There is an inflammatory redness around the herpes and less fluid inside the blisters. Some children may have cough, runny nose, loss of appetite, nausea, vomiting, headache, etc. Doctors can usually distinguish canker sores from other causes of HFMD based on the patient's age, the symptoms reported by the patient or parent, and the examination of rashes and sores.
A throat swab or stool sample can be sent to a laboratory to test for the virus, but it takes 2 to 4 weeks for a viral test to produce results, so doctors usually do not recommend this test. Basis: Epidemiological data, clinical manifestations, laboratory tests, and etiological examination basis must be present at the time of diagnosis.
-
What is HFMD.
-
On April 9, the National Health Commission held a press conference in Beijing. It is reported that in March this year, the number of reported cases of hand, foot and mouth disease nationwide reached 10,000, and the infectious disease gradually entered the epidemic period. At the same time, EV71 vaccination rates for infection prevention remain low.
Since 2010, the number of cases has been ranked first among China's notifiable infectious diseases, with an average annual number of reported cases reaching 2.06 million, and the number of deaths due to illness also ranks among the top five notifiable infectious diseases.
Mao Qunan, director of the National Health Commission's Bureau of Disease Control and Prevention, said that hand, foot and mouth disease can cause some severe cases and deaths. According to the study, these severe cases and deaths are mainly caused by enterovirus type 71, abbreviated as EV71. He said that in recent years, the national hand, foot and mouth disease has shown the characteristics of high incidence in alternate years, and it is expected that the overall epidemic intensity of hand, foot and mouth disease this year will be higher than last year, which is a peak year.
-
What is hand, foot and mouth disease? Star Awareness Project
-
Hand, foot and mouth disease is an epidemic epidemic in babies under the age of 5 from May to August, and it is necessary to go to the hospital in time after getting sick, and pay attention to the baby's health and environmental hygiene.
-
Hand, foot and mouth disease (HFMD) is a common condition in infants and children. Characterised by fever, mouth ulcers, and herpes. Initial symptoms are low-grade fever, loss of appetite, malaise, and often sore throat.
Mouth sores appear after 1 to 2 days of fever, beginning as a red vesicle rash and then often becoming ulcers. Oral herpes is commonly found on the tongue, gums, and buccal mucous membranes of the mouth. 1 After 2 days**maculopapular rash, some are herpes, the rash is not itchy, it is common on the palms and soles of the feet, but it can also be seen on the buttocks.
-
Hand, foot and mouth disease (HFMD) is an infectious disease caused by enteroviruses, which mostly occurs in infants and young children, and can cause herpes in the hands, feet, oral cavity and other parts, and individual patients can cause complications such as myocarditis, pulmonary edema, and aseptic meningoencephalitis. There are more than 20 types of enteroviruses that cause HFMD, and coxsackievirus group A, group B, and enterovirus 71 are the most common pathogens of HFMD, among which coxsackievirus A16 (COXA16) and enterovirus 71 (EV71) are the most common.
In fact, there is a very good way to put salt in boiling water, put a clean towel in a basin, wash the child several times a day, and the salt water is disinfected.
Hand, foot and mouth disease (HFMD) is an acute infectious disease that occurs in babies, caused by enteroviruses, which often occurs in 4 to 7 months, and is more common in children under 3 years of age. In the early stage of the disease, the child may have fever, pain in the corners of the mouth, sore throat, drooling, and disability to eat. After 1 or 2 days, red spots may appear on the child's hands, feet, and mouth, and the spots will gradually develop into herpes, which is a slightly cloudy fluid. >>>More
Don't go to the hospital, first, now the child has no symptoms, the doctor can't diagnose it, and you need to observe at home; >>>More
Complications: Hand, foot and mouth disease is manifested in the ** and oral cavity, but the virus can invade the heart, brain, kidneys and other vital organs. When the disease is prevalent, it is necessary to strengthen the clinical monitoring of patients, such as high fever, unexplained increase in white blood cells and no other infection foci can be detected, it is necessary to be alert to the occurrence of fulminant myocarditis. >>>More
How does HFMD work?