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Abstract: A 1-year-old female baby, who had a fever 3 days ago, was seen at an outside hospital, and her blood tests were basically normal. The outside doctor considered it a viral infection and gave ibuprofen pellets to reduce the fever, and her temperature returned to normal, but after the fever subsided a rash appeared on her body, which was a scattered, flat, red rash, so the parents brought the baby to our hospital. After diagnosis, the rash was considered to be an early childhood emergency, and the parents were informed of the precautions for home care.
Basic information】Female, 1 year old
Disease Type】Emergency rash
Hospital】Shanghai Sixth People’s Hospital
Date of Consultation】January 2022
Treatment plan】Home care (light diet + warm water bath + emollient lotion application + avoid going outside)
Treatment Period】3 days of home care
Effectiveness】The rash disappeared on its own and the body temperature did not recur
I. Initial consultation
The baby was brought to our hospital by his parents in January 2022. The baby was 1 year old, and the parents said that the baby had recently developed a lot of rashes on her body. She had a fever 3 days ago, and her temperature was 39℃ at the highest, so she went to the community hospital. The body temperature recovered smoothly in about 2 days, but a rash suddenly appeared after the body temperature subsided, which was scattered up and down.
The rash was scattered all over the body, not protruding from the skin surface, and could fade with pressure. Combining the fever, blood tests and the sequence between the rash and fever, the diagnosis was considered to be early childhood emergency rash.
Treatment history
The rash is a self-limiting disease and does not require special medication, but can slowly go away on its own. Therefore, parents are advised to take good care of their babies at home. Pay attention to the baby’s body temperature, mental status, diet, urine and stool, pay attention to a light and simple diet, do not make the water temperature too hot when bathing, and do not use body wash, and use appropriate emollient lotion after bathing, such as Vaseline emollient cream, urea vitamin E cream, etc., to form a barrier outside the rash; reduce unnecessary movement of people, avoid going out, and avoid going to places where people gather to avoid re-infection. Avoid going out and crowded places to avoid re-infection. In addition, the patient was reviewed at the clinic in 3 days. The parents expressed their understanding and strictly followed the above medical advice to carry out the activities.
Effect of treatment
Three days later, the parents brought their baby back to the clinic for a follow-up. The rash had basically disappeared, and the skin was flat, without crusting or pus. The parents said that the baby’s temperature continued to remain stable over the past few days, with no symptoms of cold and cough, while its mental state, appetite, vitality and other aspects gradually recovered, getting better day by day. Therefore, the diagnosis of E.R. is considered clear and the treatment is effective. The parents expressed their satisfaction with the treatment effect.
IV. Notes
We are glad to see that the baby’s symptoms have disappeared after active treatment and that her body is gradually returning to health. However, parents should pay attention to the fact that during the recovery period, the baby’s body is in a weaker condition, so they should avoid going out and movement of people to reduce unnecessary secondary infections; at the same time, they should pay attention to the feeding of the baby to ensure a balanced nutrition, and if the baby’s appetite is poor, they can try more, but should not be forced to eat, and can give the baby more warm water to help soothe the discomfort of the body; in addition, they should pay attention to keeping warm, open the windows more often to promote In addition, we should pay attention to keeping warm, open the windows more often to promote air circulation, ensure that the room temperature and humidity are appropriate, and also appropriate sunshine, which can help promote recovery.
V. Personal insight
The baby in this case is a typical viral infection followed by an emergency rash. The appearance of the rash indicates that the viral infection is coming to an end and does not require special medication, but only home rest and proper care. However, during this period, you need to pay close attention to your baby’s condition and advise him or her to rest at home and avoid going outside, because during the recovery period of viral infection, the body is weak and re-infection can easily occur. Parents should also be aware that if there are any other changes in the baby’s condition, they should seek medical attention if necessary.