Question
The child was found to have red spots on the buttocks yesterday, and today they have appeared on the hands as well. There is no fever, and the child’s spirits are good. The body temperature is 36 degrees Celsius, indicating a slight fever. Two bottles of intravenous drips have been administered today, and treatment will continue tomorrow. Question: Is a body temperature of 36 degrees Celsius normal?
Answer
Hand, foot, and mouth disease typically presents with a body temperature around 38 degrees Celsius. The oral mucosa may develop clusters of vesicles, the size of grains of rice, accompanied by significant pain; similar vesicles may appear on the palms or soles of the feet, and the buttocks may also be affected. The vesicles are surrounded by inflammatory erythema, with less fluid inside. Currently, the child’s symptoms are mild, and mild cases can receive antiviral, anti-infection, and systemic supportive treatment. It is recommended to practice “frequent hand washing, drinking boiled water, eating a balanced diet, adequate ventilation, and drying clothes and bedding.” Spring and summer are peak seasons for enterovirus transmission, so attention should be paid to environmental and food hygiene as well as personal hygiene. Avoid drinking unboiled water, eating cold and raw foods, washing hands before meals and after using the toilet, and keeping indoor air circulating. Try to avoid taking infants to crowded places.