Specific manifestations of “fever and rash”
There is no disease that has such a common course for different babies as the toddler rash. The most distinctive features of the disease are the rapid onset of fever, a sudden fever of 38°C to 40°C, a slight runny nose, cough, poor appetite, nausea, vomiting, mild diarrhea or constipation, and a sudden decrease in temperature after 3 to 5 days of continuous fever.
During the first few days of fever, the baby’s symptoms are exactly the same as “cold”, “sleeping with cold” and “tonsillitis”. Only when the rash comes out after the fever subsides can the diagnosis be finalized. Although the diagnosis of acute childhood rash is an “afterthought”, it can be clinically prediagnosed based on the following symptoms.
1. sudden onset of high fever with mild other clinical symptoms.
2. swollen and painful lymph nodes in the neck, occiput and behind the ear.
3. A routine blood test will reveal a decrease in peripheral blood leukocytes and a high lymphocyte classification count.
Differentiation from other rash diseases
1. Measles
Cough, runny nose, sneezing, nasal congestion and other upper respiratory tract symptoms are heavy, and oral measles mucosal spots may appear at the beginning of the disease.
2.Rubella
The rash is preceded by fever for 6 to 24 hours, high fever and rash at the same time, and swollen lymph nodes at the back of the neck and occipital area. The fever is mild, usually around 38°C.
Self-limiting disease – care is important
Emergency rash is a self-limiting disease that can heal on its own without special treatment.
Symptomatic treatment
1, physical cooling when high fever, appropriate application of infant and child antipyretic drugs containing “paracetamol” or “ibuprofen” (for example: Tylenol, Benadryl, Merlin, etc.).
2, once the convulsions give sodium phenobarbital or chloral hydrate, can be appropriate rehydration.
3, Chinese medicine treatment in the early stage of treatment is appropriate to remove the wind to relieve the surface, the rash period is appropriate to clear heat and cool the blood.
Try not to use antibiotics
In the first few days of the fever stage, the temperature will not be maintained, no matter what fever-reducing measures are used. At most, the temperature will rise again after the medicine has worn off for a few hours. Therefore, if you know that it is an emergency rash from the beginning of the illness, insist on not giving your baby antibiotics. Of course, if the fever does not go away for more than 4 days, or if the rash appears during the fever, it may be another disease, and you should go to the hospital in time.
Care is important
There is no specific treatment for early childhood emergencies, but attention should be paid to strengthening daily care and taking appropriate fever-reducing measures.
1.Let the baby rest in bed, keep the room quiet and air circulation, and pay attention to isolation to avoid cross-infection.
2.Keep the skin clean and hygienic, often wipe off the sweat stains on the baby’s body to avoid catching cold.
3, give the baby to drink more boiled water or juice water to facilitate sweating and urination, to promote the discharge of toxic substances.
4.Eat a liquid or semi-liquid diet and take appropriate supplements of vitamin B and C, etc.
5.When the body temperature exceeds 39℃, give the baby a warm bath or wipe the body with warm water. Prevent your baby from convulsions caused by high fever.
Stay away from sick babies
Infantile rash is caused by a virus, and asymptomatic adults are the source of its infection, which is spread by respiratory droplets. Fetuses can get antibodies from their mothers through the placenta, but after 6 months, the antibodies babies get from their mothers gradually disappear, while their own antibodies are not yet produced and their immune function is not yet sound. Therefore, the most common cases of acute childhood rash occur in babies aged 6 months to 2 years.
It is usually not contagious or epidemic, but it is possible to be infected by close contact with the patient. Since the incubation period of E.R. is 1 week to 2 weeks, babies should be closely observed if there is contact, and once a high fever appears, immediate measures should be taken to temporarily isolate and enhance care. The key to preventing E.E.R. is to avoid contact with babies with E.E.R. The key to preventing E.E.R. is to avoid contact with babies with E.E.R. At the same time, it is important to improve your baby’s own immune system to prevent the disease from occurring in the first place.