Be careful of herpetic pharyngitis

  Jul 10, 2024

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Summer is a high incidence season for herpetic pharyngitis. Recently, the reporter learned from multiple hospitals in Beijing, Zhejiang, Guangdong and other places that many children seek medical attention due to symptoms such as fever and long "bubbles" in the throat. The disease is highly contagious, although it often occurs in children under the age of 5, primary and secondary school students and even adults may also be infected.

In the ward of the Women's Health Hospital in Changxing County, Zhejiang Province, doctors are examining the recovery status of patients with herpetic pharyngitis. A 3-year-old patient had a fever of 39.8 ℃ a few nights ago. Despite taking medication, the child still had a high fever and was diagnosed with herpetic pharyngitis after being sent to the hospital. After several days of treatment, the condition has now stabilized.

Parent of the child, Mao Shifeng: In the morning, he shouted that his throat was sore. When he opened his mouth and saw many blisters inside, we came to the hospital. I just started eating yesterday and didn't even drink water for the first two or three days.

According to the doctor, herpetic angina is an acute upper respiratory infectious diseases of children caused by enterovirus infection. The general symptoms are sore throat, salivation, and many herpes in the throat, which affects eating. In severe cases, high fever may persist and pneumonia may occur. The transmission route of herpetic pharyngitis is mainly through the digestive tract, respiratory tract, and viral contaminated items. It is very important to do good hand hygiene in daily life to prevent diseases from entering through the mouth.

Seek medical attention promptly if symptoms such as persistent high fever and respiratory changes occur

The doctor told reporters that herpetic pharyngitis is a self limiting disease that can generally self heal. However, if patients experience the following symptoms, it is still important to seek medical attention promptly.

The high fever persists for more than 3 days at 38.5 ℃, accompanied by rash or herpes;

Mental lethargy, drowsiness, refusal to eat, frequent nausea and vomiting;

Frequent agitation, restlessness, shortness of breath, increased heart rate, pale complexion (not relieved even after fever subsides);

Frequent shaking and jumping of limbs, severely affecting sleep;

Headache, eye roll up, cold sweating, and even seizures.

Zhang Xin, Chief Physician of the Children's Medical Center at Peking University First Hospital: For example, if this child presents with persistent high fever, or if they have taken antipyretic drugs, the temperature drop is not particularly ideal, or if they have checked their blood routine and found a significant increase in white blood cells, there may also be a risk of severe illness in this situation. For example, if a child has breathing problems, such as significantly increased breathing or difficulty breathing, it is also necessary to seek medical attention in a timely manner.

Experts explain that generally speaking, after a child has been infected with a certain virus, they develop a certain immunity to the type of virus they have been infected with. However, due to the fact that there are many types of Coxsackie virus that cause herpetic pharyngitis, it is inevitable that they will be hit again by another type of virus infection.

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