Question

An 18-month-old child had a high fever last night, and today white spots resembling oral ulcers appeared on the tip of the tongue and upper jaw. How should it be diagnosed and treated?

Answer

The child experienced a high fever last night and today developed white spots resembling oral ulcers on the tip of the tongue and upper jaw. These symptoms are suggestive of oral herpes. Treatment recommendations include aggressive antiviral therapy. Additionally, the child had hand, foot, and mouth disease last June and received four days of intravenous fluid treatment. The current condition does not appear to be hand, foot, and mouth disease, but precautions should be taken for its early symptoms. I hope these suggestions are helpful to you, and wish you good health.