High incidence of herpetic angina! Please collect this prevention and treatment book

“The baby is only 3 and a half years old. Recently, I always say that my throat is sore, and I shed tears when I drink porridge!”

“I haven’t eaten or drunk for the past few days. She cried all day, shedding tears and saliva, and felt that the water in her body was going to be drained!”

What is herpetic angina?

Herpetic angina is a common childhood disease mainly caused by enterovirus, with fever, herpes in the throat, Accompanied by obvious pain as the main feature.

Good season: Herpetic angina can occur all year round. In the south, especially southern China, Summer is the peak period, and another small peak is autumn. This epidemic feature may be related to the virus’ better survivability in humid and hot environments.

Clinical manifestations:The vast majority of herpetic angina is The normal type, which is light type, often recovers on its own without treatment.

But there are also a few more serious, which require active medical evaluation.

Common manifestations of herpetic angina:

①Fever : Mild manifestations are acute onset, often accompanied by high fever. Fever may have started at the same time as or before the onset of oral herpes.

②Laryngeal herpes: The most characteristic manifestations are congestion and yellow/grey papular herpetic lesions found on throat examination . The most common sites of oral herpes are the palatoglossal arch, soft palate, uvula, and tonsils, and a small part of it also occurs on the tongue, buccal mucosa, and hard palate, but does not involve the gums.

The herpes is a papule at first, and vesicles develop within 24 hours. The diameter of the herpes is generally 1-2mm, and there is an erythematous halo around it.

About 24 hours later, the herpes ruptured, leaving a 3-4mm diameter, yellow or light gray ulcer with obvious red edges.

③Pain: Due to the formation of ulcer, older children will complain of obvious pain, and in small infants, it is often manifested as Crying, irritability, refusal to milk, obvious drooling, and even vomiting.

Herpetic angina and hand, foot and mouth disease

Is it a disease?

Herpes and HFMD can be said to be “cousins”, that is, a group of diseases with similar manifestations and etiology.

However, there are some minor differences, as follows:

①Fever level: Fever of HFMD is usually milder, mainly moderate-low fever, while herpetic angina is usually strong>High fever.

②Location of herpes: Hand-foot-and-mouth disease In addition to herpes on the pharynx and cheeks, palms and soles , and even the trunk, but herpetic pharyngitis does not appear in these areas.

How is herpetic angina caused?

Herpetic angina is caused by enterovirus infection.

In my country, the main viruses causing herpetic angina are coxsackievirus A2, 4, 5, 6, 8, 10, 16 and enterovirus A71 type.

Enterovirus 71 (EV.71) is the main virus causing severe herpetic angina.

How is herpetic angina contagious?

①Which age group is most likely to be infected?

Children are generally susceptible, especially 1-6 years old.

Immune to the same virus after a single infection, but still no immunity to a different type of virus, so yes Repeated infection many times.

②Source of infection?

Children with herpetic angina and invisible infections.

③The way of transmission?

The main route of transmission is fecal-oral route, but also through respiratory route (droplets, coughing, sneezing), As well as the contaminated hands and objects caused by transmission.

④Contagious?

Incubation period has 3-5 days;

During the first week of sickness, Most infectious; virus is present in the child’s feces and upper respiratory secretions; respiratory tract excretion lasts 1-3 weeks, and up to 10 weeks in feces.

What medicine is used for herpetic angina to heal quickly?

We all know that herpetic angina is caused by a “viral infection”. So unless there is a bacterial infection, otherwise cannot use “antibiotics”, that is, can’t use these things↓↓↓

Because antibiotics are mainly used to treat “bacterial infections”, they are ineffective against “viral infections”! Abusing it can even disrupt the balance of intestinal flora, causing symptoms such as diarrhea.