Infants and young children with roseola, you must know these home care methods

Infants usually have poor body resistance and not as strong as adults, so children are more likely to develop skin diseases, and they will be accompanied by roseola. The incubation period is usually about seven days. After the onset of roseola, there will be a high fever. Severe patients will show hearing loss. Patients will also have coughing, runny nose, and sneezing.

Clinical manifestations:

The incubation period of this disease is 7 to 17 days, with an average of about 10 days. The onset is acute, with a fever of 39-40 degrees. Convulsions may occur in the early stages of high fever. The patient may have mild runny nose, cough, and swollen eyelids. Conjunctivitis, during the fever period, there are symptoms such as poor appetite, nausea, vomiting, mild diarrhea or constipation, mild congestion in the pharynx, swollen lymph nodes in the occipital region, neck and behind the ears, the body temperature persists for 3-5 days and then suddenly subsides. When the fever subsides, light red macules or maculopapules of varying sizes appear, which fade when pressed. It starts on the trunk and quickly spreads to the whole body, with more cases on the waist and buttocks. The rash subsides in 1-2 days without pigmentation or desquamation. The enlarged lymph nodes disappear later, but there is no tenderness. During the course of the disease, the number of peripheral blood white blood cells decreases, and the lymphocyte classification count can reach 70%-90%.

Diagnostic basis: The diagnosis is mainly based on clinical characteristics, age of onset and season of onset, including the following:

1. Sudden onset of high fever, while other clinical symptoms are mild.

2. The lymph nodes in the neck, occipital area and behind the ears are swollen and tender.

3. Peripheral blood leukocytopenia, high lymphocyte differential count.

4. The age of onset is within 2 years.

Differential Diagnosis

(1) Measles has severe catarrhal symptoms in the upper respiratory tract. At the beginning of the disease, there are Koplik spots on the oral mucosa. Rash and fever may exist at the same time.

(2) The patient has been experiencing fever for 6 to 24 hours before the rash appears. The rash also occurs at the same time as the high fever, and the lymph nodes behind the neck and the back of the head are swollen.

(3) The patient has a history of taking medication for drug rash, but the peripheral blood lymphocyte count is not high.

Treatment principles: This disease is a self-limiting disease with no special treatment. It mainly relies on intensive care and symptomatic treatment.

1. General treatment: The child should rest in bed, pay attention to isolation, avoid cross infection, drink plenty of water, be given easily digestible food, and appropriately supplement vitamin BC, etc.

2. Symptomatic treatment: Physical cooling for high fever, appropriate use of aspirin 5-10 mg/(kg·time), 2-3 times a day, if convulsions occur, give sodium phenobarbital or chloral hydrate, and appropriate fluid replacement.