Children with high fever, startled and dizzy, beware of serious hand, foot and mouth disease complications

On June 8, Dr. Nguyen Minh Tien, Deputy Director of the City Children's Hospital (HCMC) said that last week the hospital received four cases of children with severe hand, foot and mouth disease. All four cases had PCR tests of rectal swabs showing infection with the EV71 strain of hand, foot and mouth virus. This is the strain that caused severe illness in 2011 and 2018.

In the 4 severe cases, before being transferred to the City Children's Hospital, most of them had symptoms such as fever, vomiting, and rash in the first few days. Then, on the 3rd or 4th day, they had symptoms of sudden fever and dizziness. They were admitted to the local hospital for treatment according to the protocol but did not improve.

Trẻ sốt cao giật mình chới với, cảnh giác biến chứng tay chân miệng nặng - Ảnh 1. — A 3-year-old boy in An Giang is being treated for hand, foot and mouth disease at the City Children's Hospital.

Specifically, the first case, a 17-month-old boy, residing in Dong Thap , in the first days had fever, nausea, vomiting, and red rash with blisters on the palms of his hands and feet. On the third day, the child had a fever, was startled, and rolled his eyes, so he was admitted to the local hospital, diagnosed with grade 3 hand, foot and mouth disease, and treated according to the treatment regimen but his condition did not improve.

The second case, VNMC, 26 months, living in An Giang. Medical history showed that the child had been sick for 3 days, with fever for the first 2 days and red rash with blisters on the palms and soles. On the 3rd day, the child had fever and was startled and dizzy, so he was admitted to the local hospital and diagnosed with grade 3 hand, foot and mouth disease.

The third case, Ng.Tr.H.Ph, over 3 years old, living in An Giang. Medical history showed that the child had been sick for 5 days, the first 3 days had fever, rash with blisters on the palms of the hands and feet, mouth ulcers, on the 4th day had fever, startled and dizzy, so he was admitted to the local hospital and diagnosed with grade 3 hand, foot and mouth disease.

The fourth case is D.Ng.TV, 3 years old, residing in Tan Phu district, Ho Chi Minh City. Medical history shows that the child was sick for 2 days, with a high fever on the first day and a fever and convulsions on the second day. Therefore, he was admitted to the local hospital for diagnosis of febrile convulsions and anticonvulsant treatment.

Currently, the above 4 cases are being actively treated at the City Children's Hospital, including cases requiring blood filtration, mechanical ventilation, and intubation... Fortunately, all 4 children have overcome the critical stage and are gradually recovering.

Through these cases, Dr. Tien reminded parents that when they see their children showing signs of fever, rash, blisters on the hands, feet, buttocks, knees, mouth ulcers, accompanied by one of the following symptoms: startled, vomiting a lot, high fever that is difficult to reduce, abnormal breathing, tremors in the hands and feet, staggering, unsteady sitting, difficulty swallowing, convulsions, etc., they need to take the child to the hospital for timely examination and treatment by doctors.

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According to Dr. Du Tuan Quy, Head of the Department of Infectious Diseases and Neurology, Children's Hospital 1, hand, foot and mouth disease is mostly mild, but if not detected and treated promptly, the disease can cause many complications such as encephalitis, myocarditis leading to respiratory failure and death.

"However, before serious complications occur, children will show symptoms such as fever that does not go down, waking up suddenly in the middle of the night... At this time, parents need to take their children to the hospital immediately," the doctor noted.

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