Question
A 1-year-10-month-old girl baby has been constantly crying and showing signs of low spirits and lack of appetite recently. She also has some symptoms of a common cold, with blisters resembling oral ulcers appearing at the tip of her tongue and inside her throat. The doctor diagnosed it as a viral infection and is concerned about a recurrence of hand, foot, and mouth disease, as the baby had a severe case before and the symptoms are similar. However, no blisters were found on the hands and feet this time.
Answer
The condition should be diagnosed as herpangina, and treatment should primarily involve antiviral medications. The choice of oral, nebulized inhalation, or intravenous injection should be based on the severity of the condition. Antibiotics are generally not needed unless there is an increase in white blood cells and neutrophils. It is recommended to increase fluid intake and consume liquid foods, and to use antipyretics during high fever to prevent febrile convulsions.