Reporter Wang Xiaomeng Correspondent Zhao Mei Guan Tianxing
In early May, Duoduo's mother brought the 4-year-old Duoduo to the pediatric department of the central hospital with anxious concern. After consultation by Li Feng, director of the Department of Respiratory Medicine of Children, it turned out that Duoduo had fever, sore throat, and poor diet for 3 days, and was not energetic the day before the treatment.
According to Duoduo's mother, Duoduo's body temperature has reached 40.0℃ in the past three days, and sore throat affects eating and water. After oral administration of ibuprofen, the body temperature can drop to normal. Fever will appear again after 4-6 hours. After Director Li's consultation, physical examination and laboratory examination, Duoduo was finally diagnosed with herpes pharyngeal inflammation.
Herpetic pharyngeal inflammation is a common infectious disease in childhood. It is more common in children under the age of six. It mainly manifests as fever, sore throat, and pharyngeal herpes. Fever is generally moderate to low-grade fever, and can also manifest as high fever. Some children have obvious sore throat, which can affect their eating. Off-white herpes can be seen in the pharyngeal isthmus, with redness around it. It can ulcerate and become ulcer in 1 to 2 days. Only a few children have serious clinical manifestations, with high fever not regressing, frequent vomiting, and other symptoms similar to severe hand, foot and mouth.
The main pathogens that cause herpetic pharyngeal inflammation are enterovirus. Because enterovirus is suitable for survival in humid and hot environments, herpetic pharyngeal inflammation is likely to occur in spring and summer. At the same time, herpetic pharyngeal inflammation and hand, foot and mouth disease are similar to sisters, from pathogenic knowledge to clinical manifestations, etc. Therefore, when fever and sore throat occur in the early stage, you should also observe the rashes on your hands, feet and buttocks, and pay attention to whether there is a possibility of hand, foot and mouth disease.
Enterovirus is mainly transmitted through the gastrointestinal and respiratory tract or directly or indirectly contact, so it is easy to spread in collective institutions, especially kindergartens. Although our country has not included herpetic pharyngeal inflammation as a statutory infectious disease, it is best for children to be isolated at home for 2 weeks to avoid an outbreak.
How to keep enterovirus away from all children? Enteroviruses are generally not resistant to high temperatures and can be effectively killed when boiled. In addition, enteroviruses are more sensitive to dryness and ultraviolet rays, and ultraviolet rays can be wiped out by 0.5 to 1 hour. As an important prevention method, parents should strengthen the development of children's hand hygiene habits and correct hand washing methods, pay attention to dietary hygiene and boiling and disinfecting tableware.
If the child has herpetic pharyngeal inflammation, parents should not panic. It is best to take the child to the hospital to follow the guidance and treatment of professional doctors. According to the 2016 "Evidence-based Guidelines for Diagnosis and Treatment of Several Issues for Children with Unknown Causes and the Treatment of Several Issues for Children with Unknown Causes": Children with generally good conditions and unknown Causes, routine blood tests after 12 hours can provide more effective diagnostic information.
So parents encounter similar situations. If the child is generally in good condition and has no history of underlying diseases such as high fever convulsions, they can consider taking ibuprofen suspension first (usually 5-10 mg/kg body weight, at least 4 hours apart, no more than 4 times in 24 hours), observe for 12 hours, and see the doctor if there is no obvious improvement.
The treatment of herpes pharyngeal inflammation is mainly symptomatic treatment. At the same time, parents should pay attention to letting the children rest more, eat a light diet, avoid irritating diets such as sour, spicy, and hot, do a good job of home isolation, avoid cross-infection, and observe changes in the condition. If there is a high fever, poor mental health, drowsiness, pale complexion, etc., seek medical treatment in a timely manner. If the recovery is smoother, the symptoms will generally disappear in about a week.
