What causes herpetic angina?

The epidemic history of herpetic pharyngeal and buccal inflammation is 1. Enterovirus is naturally resistant to high temperature, so it is often high in summer and early autumn. At present, herpetic pharyngeal and buccal inflammation is getting worse with the hot weather.

2. The main viruses of herpetic pharyngitis are coxsackie virus A 1, A6, A8, A 10, A22, but a few are A 16, EV7 1, which are easy to cause epidemic and outbreak.

3, infants, mostly under 5 years old.

4. The main route of transmission:

A, fecal transmission between people;

B, oral and respiratory secretions contact and spread;

C, diffusing through the ruptured vesicular liquid;

Herpes pharyngolaryngitis is mainly manifested as 1, high fever, high fever in summer, no symptoms of cough and runny nose, so it is often suspected.

2, suddenly a lot of saliva, eating less milk, or crying while eating.

3. It is easy to have convulsions in the first 24 hours.

4, herpes may not be found on the first day, but there are red spots on the buccal mucosa. If the body temperature is repeated, saliva is excessive, and anorexia occurs, the main trend is to come to the hospital for examination. Some children found herpes on the pharynx and cheeks, but there were no rashes on their hands and feet. They found it the next day, so the rash of herpetic pharyngitis needs dynamic observation.

5, the complications are not as serious as hand, foot and mouth disease, but we should also be wary that hand atypical hand, foot and mouth disease is only manifested as herpetic pharyngeal and buccal inflammation. Therefore, home observation, or pay attention to the child's temperature changes, mental state and so on.

How to treat herpetic pharyngeal and buccal inflammation 1, and treat fever symptomatically. See previous articles or videos for details.

2, liquid diet, but the diet must be cold, but you can eat some cold food in summer to supplement the basic needs of normal water and energy.

Children who can't eat need infusion to replenish energy and water.

4. There is no specific antiviral drug.

5, oral pain can be oral ibuprofen or acetaminophen drops.

6. Although herpetic pharyngitis is a self-limiting disease, parents should be vigilant because of the diversity of viruses and the intersection of hand, foot and mouth disease.

Dr. Ke is the chief physician of pediatrics and has rich clinical experience. Specializing in children's digestive system diseases, respiratory diseases, chronic cough, Helicobacter pylori infection, chronic gastritis, functional constipation, abnormal liver function, chronic diarrhea, milk protein allergy and other intractable diseases, as well as infant nutrition development and feeding consultation. To be friends with health and doctors, welcome to forward your likes, comments and concerns. Sharing is a virtue. If you have any questions, you can leave a message, and Dr. Ke will answer typical questions in a targeted manner during recess. Herpes angina onset faster, febrile convulsion is more common.

Summer is the high incidence season of herpetic angina. If you come into contact with children with herpetic angina, you will be easily infected. If 1 5-year-old children suddenly have a fever, and it is a high fever, you need to be alert to herpetic angina. If the doctor finds herpes in the throat, it can basically be confirmed as herpetic angina. Herpes angina fever is characterized by sudden high fever, so the proportion of febrile convulsions is relatively high, while hand, foot and mouth disease is mostly moderate fever, and febrile convulsions rarely occur. However, febrile convulsions rarely have serious consequences for children. Generally, it will relieve itself after 1 to 2 minutes, and there will be no sequelae. The incidence of encephalitis in hand, foot and mouth disease is higher than that in herpetic angina, and even a few people are in danger.

Most cases of herpetic angina and hand-foot-mouth disease can heal themselves.

Both are caused by enterovirus infection, and most people can heal themselves. In addition to antipyretics, other drugs such as antibiotics, antiviral drugs, Chinese patent medicines for clearing away heat and toxic materials, and sprays are unnecessary. So-called antiviral drugs, including oseltamivir and ribavirin, can not shorten the course of hand, foot and mouth disease and do not need to be used. Although leukocytes and C-reactive protein in children with herpetic angina are elevated, herpetic angina can be like this, which does not mean that there is bacterial infection and antibiotics such as cephalosporin are not needed.

Herpes angina usually heals within one week, and high fever can be repeated in the first three days, usually turning into low fever in 4~5 days, and the body temperature basically returns to normal in 6~7 days.

My parents are anxious because I have a sore throat and refuse to eat.

In children with herpetic angina and hand, foot and mouth, sore may be formed after herpetic ulceration, causing pain. If children refuse to drink water, parents will be very worried, but this process will generally not exceed 2~3 days. In the meantime, avoid giving your baby overheated milk or water, and avoid drinking more painful acid drinks, so as not to stimulate ulcer pain. Cold liquid foods such as cold drinks and ice cream can relieve pain. Remember to rinse your mouth after eating sweets. Therefore, parents with recurrent fever a few days before herpetic angina should not worry and continue to use ibuprofen or acetaminophen to reduce fever.

In a few cases, herpetic angina may develop into hand, foot and mouth disease, and in a few cases encephalitis may occur. Parents need to observe whether their children have complications such as febrile convulsion, lethargy, listlessness, physical activity disorder and fright. If not, they can observe in isolation at home. If you have a high fever for more than 5 days, or for more than 7 days, you need a follow-up visit to eliminate secondary bacterial infection or other problems.

Herpes pharyngolaryngitis is a common infectious disease in infants caused by various enteroviruses (such as Coxsackie virus and echovirus). ), with fever, pharyngeal swelling, sore throat and blister on the palate as the main symptoms. It is popular in summer and autumn, and it will happen in winter. It mainly occurs in children aged 1-7, but it may also occur at any other age. The course of disease is 7~ 10 days, which is highly contagious and can often form a small-scale epidemic in kindergartens.

Like other viral infections, herpetic angina is a self-limiting disease, and there is no specific antiviral drug or vaccine for it at present, so family care is particularly important. Children without complications can receive treatment and care at home. If the fever persists or the ulcer does not heal, you should consider seeking medical treatment. If you have symptoms such as vomiting, headache and listlessness, you should seek medical advice as soon as possible.

Pay attention to the hygiene of the home and surrounding environment, and pay attention to personal hygiene. Often ventilate the room, often dry clothes and quilts. Educate children not to eat raw food or drink raw water, and wash their hands before and after meals and when they go home; In addition, try to avoid crowded public places with poor air circulation, avoid contact with sick children, and reduce the risk of infection. At the same time, we should pay attention to healthy and balanced nutrition, live a regular life, keep enough sleep, and have good immunity to better resist diseases.

Herpes angina is a mild disease, and the state has not included it in the Law on the Prevention and Control of Infectious Diseases. Even if all children with symptoms are forbidden to go to school, it is impossible to control group infection, because recessive infection is often the main source of infection in the group. Although the child will excrete the virus through saliva and feces after the symptoms disappear, it should be no problem for the child to return to school after the symptoms disappear.

In other words, parents need to be able to accept the fact that in the past few years, children will inevitably encounter all kinds of common pathogenic microorganisms, whether it is recessive infection or infection (common diseases are generally not serious), which is regarded as immunity, and children's immune function will gradually improve in the "struggle" with pathogenic microorganisms.

Speaking of herpetic angina, the name is a long list, but when it comes to "hand, foot and mouth disease", it is familiar! This herpetic angina is actually an early symptom of hand, foot and mouth disease, and they are all caused by the same virus. The former is manifested as pharyngeal herpes, that is, blisters, accompanied by pain and even bleeding, while the latter is mainly in the limbs and mouth.

Herpetic angina is caused by enterovirus infection, which is common in children, mostly in summer and autumn. These enteroviruses will run into the air after being excreted in feces, and easily enter the human body with the air when we breathe; It can also pollute food and enter the human body with diet; Even stay on clothes and utensils. After touching, children like to chew their fingers and get infected. Therefore, the reasons are nothing more than the following two points:

1. The patient's own immunity is too low and the resistance is poor. On the one hand, children are delicate, have low immunity and are easily infected; On the other hand, as far as adults are concerned, overwork, colds and so on. The sudden decrease in resistance gave the virus an opportunity. This can also explain why summer and autumn are more common (the weather changes greatly in summer and autumn, and it is easy to catch a cold and spread the virus).

2. unclean living habits. Children like to walk around and touch around, and their hands will inevitably come into contact with the virus. Children also like to chew their fingers, which greatly increases the chance of infection. At the same time, due to the strong resistance of adults, adults may go home and infect their children after being exposed to the virus from the outside.

Therefore, once you find that someone around you has herpetic angina or hand, foot and mouth disease, you must remember: stay away. Especially children, remember to do basic protection when going out, such as masks. Hand sanitizer can be prepared at home. Adults should wash their hands and change clothes before going home to touch their children. Try not to take children to crowded places in summer and autumn, and try to reduce eating out.

Gu Xiaohua

Suning

Pingguoping

Herpes angina usually begins with acute fever and sore throat, and there is an incubation period of 2-4 days before symptoms appear. Fever can be moderate or high. The typical symptoms of this disease are herpes in the pharyngeal isthmus and ulcers after herpes outbreaks. Oropharyngeal isthmus refers to tonsil and its periphery.

Because of ulcers, children can show a sore throat, eating, etc. The disease is self-limited, and most children have mild symptoms, and they heal themselves in 1-2 weeks. A few cases may have complications, such as febrile convulsions and encephalitis. The disease is an acute infectious disease caused by virus infection, which mostly occurs in young children. The main clinical manifestations are fever and herpetic ulcer in pharyngeal isthmus.

Pathogens that can cause herpetic angina are complex, including various enteroviruses, such as Coxsackie virus (including multiple subtypes) and echovirus. It overlaps with the pathogen that causes hand, foot and mouth. Among them, EV7 1 (a special enterovirus) may be seriously infected. Herpes angina can occur all the year round, with the peak in May-July. Patients with hand, foot and mouth disease, herpetic angina, and recessive infection (infected with pathogens but without onset and corresponding clinical symptoms) can all become the sources of infection of the disease.

The route of transmission is mainly fecal-oral route, but also through close contact (oral herpes fluid, rash herpes fluid of hand, foot and mouth disease patients, or articles contaminated by patients' herpes fluid, oral secretions or feces, etc.). ), the spread speed is fast, and it is highly contagious, which can cause a cluster epidemic in places where children are concentrated, such as kindergartens. Therefore, sick children must be isolated; Children's concentrated child care institutions, early education institutions and other units should conduct morning check-ups when entering the park, and strengthen sanitation and disinfection during the epidemic.

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Herpes angina is a common infectious disease in children, with high incidence, strong infectivity and rapid spread. Its main pathogen is enterovirus. Herpes angina infection mostly occurs in children aged 1-5, and the incidence of children over 5 is low. Gan and other scholars reported that hand, foot and mouth disease and herpetic angina caused by enterovirus infection mostly occurred in children aged 12-23 and 24-35 months, and the prevalence rate of children over 5 years old was relatively low, similar to that reported in Guangdong and Taiwan Province provinces of China. 1-5-year-old children are prone to illness, which may be related to children of this age who are active and love to eat their hands; In addition, boys have more girls, which may also be because boys are more active and more exposed to pathogens than girls. The disease can occur all year round, with obvious seasonality, and the epidemic period is mostly summer and autumn. In China, the epidemic peaks of herpetic angina and hand-foot-mouth disease are not only from April to June, but also from 9 to 65438+10 in southern provinces, which may be related to the easier propagation of enterovirus in high humidity and warm places.

Coxsackievirus A groups 2, 4, 5, 6, 8, 10, 16, group B, ecotoxic 30 and EV7 1 can all cause the epidemic of herpetic angina. Among them, CA 16 and EV7 1 are the most common viruses, and both EV7 1 and CA 16 are co-infected.

Herpes angina in children is mainly characterized by fever, salivation and sore throat, which may be accompanied by diarrhea, vomiting, convulsions and cough, which may cause lower respiratory tract infection and involve the nervous system.

Herpetic angina in children is a special type of upper respiratory infection, which is mostly caused by Coxsackie A virus, occasionally caused by other enteroviruses, mostly in summer and autumn, and mostly in preschool children aged 65,438+0-7. Sudden fever (high fever, even febrile convulsion) and sore throat often occur. Herpes mainly occurs in the pharynx and soft palate, sometimes in the tongue, but generally does not involve gums and buccal mucosa. When you observe the mucous membranes in the mouth, such as pharyngeal arch, soft palate, uvula and so on. , you can see a few to a dozen gray-white herpes with a size of 2-4mm and a blush around it. Due to congestion and pain in the pharynx, babies will drool, refuse to eat, have anorexia or cry and be agitated when eating because of swallowing pain and difficulty. The incubation period of the disease is 2-4 days, and the course of the disease is about 1 week, and there are often no systemic symptoms, or the systemic symptoms usually heal themselves after 4-6 days.

Herpes angina is not a legal infectious disease, but it is also contagious, mainly through contact and feces. Therefore, in the process of parenting, it is necessary to strengthen the baby's habit of washing hands before meals, take the baby less to public places with crowded people and relatively poor air circulation, keep the baby away from entertainment toys in public places, and disinfect his baby toys frequently, which can reduce the baby's chances of suffering from herpetic angina.

Herpes angina is a self-limiting disease, and symptomatic treatment and intensive nursing are the main methods after illness. The disease is characterized by a high fever. If the baby's temperature does not exceed 38.5, parents can take warm water bath, warm water scrubbing, antipyretic stickers and other physical cooling. If the baby's temperature exceeds 38.5, it is a febrile convulsion, and the medicine can be given to reduce the fever. During the period when the baby suffers from bullous angina, parents should strengthen family care, let the baby pay attention to rest, strengthen indoor ventilation and dry the baby's bedding more. Also, in order to relieve the baby's sore throat and reduce throat irritation, we should give the baby a light diet and a liquid diet, drink plenty of water and supplement vitamins.

Because the symptoms of herpetic angina are not much different from those of the common cold, it is easy to be mistaken for a cold. In order to prevent delayed treatment, parents should pay attention to their baby's fever (high fever), drooling, anorexia or crying during daily parenting. The baby may have this disease and should be taken to the hospital as soon as possible.

In addition, in fact, herpetic angina and hand, foot and mouth disease are both caused by a virus. Herpes angina is just a blister in the throat, but no herpes in the hands and feet. If you have herpes on your hands and feet, it is hand, foot and mouth disease.

Herpes and acne-like diseases such as hand, foot and mouth and herpetic angina. All of them are caused by insufficient water for storing essence and tonifying kidney in winter, which leads to insufficient middle qi and can't reduce fire. Three beans of water can be cured. These symptoms are all diseases caused by too much wood fire. It is necessary to replenish water, raise wood, and collect fire, not clear it. Once destroyed, the child's constitution will be empty. Chinese medicine has always been conditioned from the roots!

Three bean drinks, sweet, all supplement the middle qi. Among them, each kind of bean has another characteristic.

Soybean: fill the soil, restore the rotation of transportation and transformation in China, and the four-dimensional fluctuation of jinshui wood fire is not stagnant;

Mung beans: clear wood is hot, two trees rise and two trees fall, and the fire is restored;

Black beans: If the water is full of gas and water, it can hide yang, then the fire collection belongs to the gate of life, and it will no longer be discharged at will. The fever and acne rash naturally subside.

The practice of three bean drinks:

Soybeans, black beans and mung beans, each with a handful of rock sugar (you can add 1 white Mi Dou for less urine, and 2 black plums for restless at night). Cook slowly for at least 2 hours. You can take it with boiled water, or at least 3-4 times a day for a week, and eat it for severe cases 15-30 days. Don't eat when you are ready. Beans take a long time to cook to show their efficacy. The longer the better. Cook soup every day and drink it every day. Bean water didn't change overnight. It is best to have a soup pot, put beans and water in it, plug in the power before going to bed, and drink thick soup for a day the next morning.

If white fur is found on the tongue surface during the process, dry it with light fermented soybean or swallow it with powder. The dosage depends on age, about 5 tablets under June, 5- 10 tablets under 65438+February, 0-year-old 18- 15 tablets, and adult 1 tablet.

Children's massage can be combined with daily massage of tonifying kidney meridian, clearing liver and calming lung, clearing stomach meridian and large intestine meridian, and rubbing abdomen clockwise. 5 minutes for children under 3 years old and 10 minute for children over 3 years old. This combination of acupoints and prescriptions is also based on replenishing water and nourishing wood, so that Yang Can is hidden, not removed.

Herpes angina is an acute infectious disease caused by various enteroviruses and upper respiratory tract infections. Generally, children under 7 years old have more diseases because of their low immunity and resistance. Patients with herpetic angina will suddenly have high fever (greater than or equal to 39 degrees), accompanied by sore throat, and mucosal herpes similar to oral ulcer will appear in the pharyngeal isthmus, which is highly contagious and has a rapid infection rate.

Herpes angina is mainly transmitted through contact infection and gastrointestinal tract, that is, fecal transmission. Therefore, the first cause of herpetic angina is direct or indirect contact with herpetic angina patients, direct contact. Here, nasopharyngeal secretions, droplets, herpes fluid and feces of patients with herpetic angina are the transmission routes, and indirect contact is through contact with contaminated body parts, clothing, food, public facilities and so on. , thus causing their own virus infection.

The second reason is that children's eating habits are unsanitary, such as eating food with bacteria, eating snacks indiscriminately, drinking raw water and other bad habits caused by enterovirus infection, which leads to herpetic angina.

Therefore, in the process of taking care of children, adults should pay attention to cultivating children's good habits of washing their hands frequently and loving cleanliness. During the period of high incidence of infectious diseases, don't often go to public places with dense people and poor air circulation to avoid being infected. At the same time, try not to touch or touch public facilities, and remember to wash your hands or disinfect after touching public facilities. Articles that often come into direct contact with children, such as children's toys and tableware, should be disinfected regularly and kept clean. Don't eat unclean food, drink plenty of boiled water or warm water, and don't give children snacks.

Instructor: Shi Jipeng, attending physician of pediatrics in the First Affiliated Hospital of Xinxiang Medical College. Working in a tertiary hospital for nearly 10 years, with rich clinical experience. He is good at the diagnosis and treatment of common and frequently-occurring diseases in pediatrics, especially the diagnosis and treatment of common and critical diseases in newborns.

Yesterday was the awn seed, and the time sequence entered the midsummer, which is the season of life's indulgence and growth.

Everything is growing like crazy, and all kinds of infectious diseases have entered a period of high incidence. Among them, there is a kind of "kissing disease" rumored by my mother's circle of friends-herpetic pharyngeal and buccal inflammation.

Don't panic, it's not that scary.

One card is enough to answer this question ~

It is caused by enterovirus infection, just like hand, foot and mouth disease, and is the "cousin" of herpetic angina and hand, foot and mouth disease.

Because the pathogens are similar, the symptoms of these two diseases are similar.

Because herpes can occur, it is difficult to distinguish between the two diseases unless herpes occurs outside the oropharynx.

Bottom line: Herpes angina is only if there is herpes in the mouth; I also have a rash, which is hand, foot and mouth disease.

There is no tongue depressor at home. You can see it with a small flashlight.

Is kissing contagious? It's not that scary

Herpes angina is mainly transmitted through feces, which is an enterovirus.

The proportion of transmission through "kissing" is very small, and the prevalence rate of infants is similar whether they are close or not.

However, not infecting does not mean that you can kiss the lovely baby outside at will!

Put yourself in the shoes, it's strange that someone always kisses you …

How to prevent it?