Patient's question:
8-year-old child with cold symptoms developed a high fever of over 38 degrees Celsius at night. I used Tylenol to reduce fever and Cephalexin for inflammation, but the fever persisted for two days. On the third day, after school, I noticed small, rice-grain-sized blisters on my neck. Then, looking under my underwear, I found them on my chest, back, and all over my body. I carefully checked my entire body and found blisters of varying sizes, some filled with liquid. At this point, blisters also appeared on my face and scalp. I initially suspected it might be chickenpox. Then I gave the child Banlangen oral liquid and applied gentian violet. The blisters started to heal. By that night, the high fever also subsided, and the blisters stopped appearing.Previous treatment history and effectiveness: No prior treatment, no history of allergies.
Type of assistance needed: I want to ask the doctor if this is chickenpox? Will the fever reducer and Cephalexin have any effect on the blisters? Now that the blisters have stopped appearing, how should I take care of them?
Doctor's answer:
Easily occurs in winter and spring, it is highly infectious and can be transmitted through contact or droplets. The incidence rate in susceptible children can reach over 95%, with preschool children being most commonly affected. Clinical diagnosis is characterized by the initial and recurrent appearance of maculopapules, vesicles, and crusts on the skin and mucous membranes, with all stages of rash present simultaneously. This disease is self-limiting, and recovery grants lifelong immunity. However, it can also reappear as herpes zoster after more than ten years. Children who contract chickenpox may develop severe complications such as chickenpox encephalitis or primary varicella pneumonia.