What is the cause of low-grade fever and runny nose in hand, foot, and mouth disease?

Patient's question:

The child is one year and four months old. A few days ago, they had hand, foot, and mouth disease and received intravenous treatment for five days. The treatment is now complete. The next day, they had a fever again and were taken to the hospital for blood tests, where acute tonsillitis was diagnosed. They were given medication, and the fever subsided the following day.

Doctor's answer:

Dear friend, hello, it is a great pleasure to answer for you. Hand, foot, and mouth disease is an acute infectious disease caused by enterovirus. The main clinical manifestations are fever and rash on the mouth, hands, and feet, mostly seen in children under the age of 4. The peak incidence is in July and August during the summer. The main route of transmission is through droplets via the respiratory tract or through contaminated toys and unclean hands by mouth.

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