Hand, foot and mouth disease: Signs suggest the risk of complications

This is an automatically translated article.


The article is professionally consulted by Master, Doctor Nguyen Thi Nhat - Infectious Disease Specialist - Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.
Hand, foot and mouth disease is a disease that spreads very quickly, with the risk of progressing to dangerous complications such as meningitis, encephalitis, making the patient easy to die. Currently, there is no cure for this disease yet.

1. What is hand, foot and mouth disease?

Hand, foot and mouth disease is an infectious disease that is transmitted from person to person mainly through the gastrointestinal tract. The disease can affect anyone, but children under 5 years old are the most common, especially children under 3 years old.
Because the intestinal virus causes, the main source of transmission is from the saliva, feces, and blisters of infected children, which can easily spread into epidemics. The main causes of the disease are Enterovirus 71 (EV71) and Coxsackievirus A16. The main manifestation of the disease is damaged skin, mucous membranes in the form of blisters in places such as palms, feet, oral mucosa. Patients with hand, foot and mouth disease can get it again and again because the disease does not have permanent immunity. In addition, the disease is also caused by many different agents, so people who already have the disease can still get it again. If the disease is not treated in time, it can cause many dangerous complications such as encephalitis, meningitis, pulmonary edema, leading to the risk of death.

2. Symptoms of hand foot and mouth disease


Bệnh nhân tay chân miệng có da bị tổn thương, niêm mạc dưới dạng phỏng nước
Bệnh nhân tay chân miệng có da bị tổn thương, niêm mạc dưới dạng phỏng nước
Hand, foot and mouth disease often has the following symptoms:
Fatigue, loss of appetite, frequent sore throat. Fever. After the onset, the disease appears painful in the mouth, has red spots and then becomes ulcers, possibly ulcers on the tongue. Skin rash. Some cases of hand, foot and mouth disease patients do not have any symptoms or in some cases only rashes and mouth ulcers appear. Appearance of blisters, usually 2-10mm in size, oval, gray, often appearing on palms, soles, buttocks, knees, may have blisters in the mouth and when this blister rupture, causing pain in children due to sores in the mouth leading to anorexia and loss of appetite. After about 5-7 days, the blister will deflate and heal on its own, the child may have vomiting, diarrhea after the balloon floats or after the balloon deflates.

3. Signs suggest the risk of complications of hand, foot and mouth disease

Hand, foot and mouth disease usually goes away on its own and does not threaten the health of the patient, but the disease can also cause extremely dangerous complications.
Some signs suggest the risk of complications of hand, foot and mouth disease include:
The patient has a high fever that is difficult to lower. High fever continuously for many days (more than 2 days) above 39 degrees Celsius. The patient vomits a lot, vomiting is not accompanied by diarrhea, vomiting is not after coughing. Children are often fussy, often panic easily. The patient's white blood cell count increased, above 16000/mm3. The patient's blood sugar rises. The patient has difficulty breathing, laryngeal stridor. The patient's basal skin lesions increased. When any of the above signs appear, the child should immediately be taken to a specialist hospital for timely treatment to avoid the risk of dangerous complications.

Trẻ bị tay chân miệng thường sốt cao khó hạ
Trẻ bị tay chân miệng thường sốt cao khó hạ

4. Risk of misdiagnosing hand, foot and mouth disease

Hand, foot and mouth disease can have many diverse complications, so many people confuse hand, foot and mouth disease with some other diseases such as:
pneumonia, acute laryngitis caused by people with HFMD. have disease symptoms such as rapid breathing, rapid breathing, accompanied by pulling or wheezing. Sepsis, septic shock because hand, foot and mouth patients are at risk of complications with typical signs of high fever and shock. Meningitis caused by bacteria Rabies with signs of the disease is panic, screaming. This is also a complication of hand, foot and mouth disease. Hand, foot and mouth disease often progresses very quickly, so if a child is not treated promptly, his life can be at risk.

5. How to deal with hand, foot and mouth disease


Nếu có dấu hiệu bệnh trở nặng, ba mẹ cần đưa trẻ đến trung tâm y tế ngay lập tức
Nếu có dấu hiệu bệnh trở nặng, ba mẹ cần đưa trẻ đến trung tâm y tế ngay lập tức
To date, there is no specific medicine for hand, foot and mouth disease. Therefore, patients with hand, foot and mouth disease need to be closely monitored, early detection of the disease, when seeing any signs of the disease, they should immediately go to a reputable medical facility for timely treatment.
Besides, the patient should also drink a lot of water, supplement with adequate nutrients and practice sports regularly to increase the body's resistance, improve the immune system to fight the effects of harmful effects. negative effects caused by diseases such as sores, high fever, and at the same time prevent and limit dangerous complications of the disease.
Hand, foot and mouth disease has the risk of spreading quickly and is easy to have dangerous complications, so sick people must pay special attention when they see any signs of the disease. Especially for young children, parents need to pay attention and monitor signs of worsening illness in children.
Pediatrics department at Vinmec International General Hospital is the address for receiving and examining diseases that infants and young children are susceptible to: viral fever, bacterial fever, otitis media, pneumonia in children, .... With modern equipment, sterile space, minimizing the impact as well as the risk of disease spread. Along with that is the dedication from the doctors with professional experience with pediatric patients, making the examination no longer a concern of the parents.
Master. Doctor. Nguyen Thi Nhat has more than 10 years of experience in the field of artificial kidney, and in the field of infectious diseases, examination and management of patients with kidney disease and infectious diseases. Currently working as a Doctor of Infectious Diseases, Department of General Internal Medicine, Vinmec Hai Phong International General Hospital

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

Share
Patients Stories