Patient's question:
Patient Gender: 21-month-old female with hand, foot, and mouth disease for 10 days, accompanied by sore throat, persistent fever for 5 days, runny nose, and dry cough for 6 days. Blisters have now crusted over.Treatment: Acyclovir, federal cough syrup, roxithromycin, and given Gengdu sodium, viramidine, dexamethasone, and musk injection for the past three days.
Fever management: Paracetamol was administered to relieve fever for a few hours, but it persisted, with a highest recorded temperature of 39.5°C.
Please seek urgent expert assistance!!! Thank you!!!!!!!!!
Additional Tests: None
Doctor's answer:
Hello: The following treatment methods can be tried:1. Disinfection and Isolation
First, the patient should be isolated from healthy children. The patient should stay at home until the fever, rash, and blisters have subsided and crusted over. Generally, isolation is needed for 2 weeks. Toys, utensils, or other items used by the patient should be thoroughly disinfected. Common methods include soaking in chlorine-containing disinfectants or boiling. Items that cannot be boiled or soaked can be exposed to sunlight. The patient’s feces should be disinfected with chlorine-containing agents for 2 hours before disposal.
2. Maintaining Indoor Air Circulation
The patient’s living space should have fresh air and a comfortable temperature. Windows should be opened regularly for ventilation, and daily air disinfection can be done using lactic acid fumigation. The amount of lactic acid should be calculated at 2 ml per 10 square meters of room space, added to an appropriate amount of water, heated to evaporate, allowing the fine mist of lactic acid to disperse in the air. The living space should avoid overcrowding, smoking is prohibited to prevent air pollution and secondary infections.
3. Rest and Diet
The patient should rest in bed for the first week and drink plenty of warm water. Due to fever and oral ulcers, the patient may have poor appetite and be reluctant to eat. Therefore, the diet should be light, palatable, and easy to digest. If the oral ulcers are severe, liquid foods can be consumed. Cold, spicy, salty, and other irritating foods should be avoided.
4. Oral Care
Oral hygiene should be maintained to prevent secondary bacterial infections. After each meal, the mouth should be rinsed with warm water. If oral ulcers are present, tetracycline ointment or cod liver oil can be applied to reduce pain and promote healing.
5. Rash Care
The patient’s clothes and bedding should be kept clean, and the clothing should be loose and soft, changed frequently. The bed should be flat and dry. The child’s nails should be trimmed short, and if necessary, they should be wrapped.