How to treat 3-month-old baby with herpes zoster all over her body, and it’s because of kissing?!

A piece of news that has been hotly discussed on the Internet recently: \”When the child was 3 months old, his whole body was covered with red and dark red erosive herpes and scabs, especially on his head. His face was almost densely covered with herpes. It can be said that His body was completely bruised and miserable.\” According to the doctor in charge, the child\’s illness was probably caused by his mother\’s kiss. How to care for herpes zoster in babies? A 3-month-old female baby was horrified. Epstein-Barr virus infection can cause infectious mononucleosis, which is a benign self-limiting disease. Most have a good prognosis, but a few may develop serious consequences such as hemophilia syndrome. 01. The origin of EB virus Infectious mononucleosis, IM, is an acute proliferative disease of the monocyte-macrophage system caused by primary infection with EB virus. The virus was first discovered in 1964 and found to be related to IM in 1968. 02. Characteristics of EB virus. The infection rate of EB virus is very high among normal adults. About 90% of adults have EB virus antibodies. It is mainly transmitted through saliva (so this disease is called kissing disease. Adults should not kiss mouth to mouth at will. Baby!!!) The peak age of onset of this disease in our country is around 4-6 years old. 03. Pathological changes of EB virus. After the virus enters the oral cavity, it replicates in the pharyngeal lymphoid tissue and then enters the blood, causing viremia. It mainly accumulates in lymphoid tissue throughout the body and tissues and internal organs with lymphocytes, which can cause liver, spleen, The myocardium, kidneys, adrenal glands, lungs, nervous system, etc. are affected. 04. The typical manifestations of EB virus include fever, angina, and swollen lymph nodes. 1. The degree of fever varies, fluctuating around 38.5~40°C, and can last for about a week. Young children may have low-grade fever; 2. About half of the patients with angina suffer from sore throat, and congestion of the posterior pharyngeal wall, uvula, and tonsils Edema, ulcers or pseudomembrane formation on tonsils; 3. Lymph node enlargement: More than 70% of patients have lymph node enlargement, 0.5~4cm, medium texture, no suppuration, retrooccipital and cervical lymph node enlargement are the most common, and they subside Slowly, it can last until the acute symptoms disappear for about a few months; 4. Other symptoms: hepatosplenomegaly. About 50% of cases will have hepatosplenomegaly. Be sure to avoid compression and impact on the abdomen to avoid liver and spleen rupture! In some cases, eyelid edema and rash may occur. 05. Treatment methods 1. There is no specific treatment method for this disease, mainly symptomatic and supportive treatment; 2. General treatment: bed rest, avoid hitting the abdomen, and avoid rupture of the liver and spleen; limit or avoid exercise, especially for teenagers, pay attention to symptoms Vigorous activities can only be done 2-3 months after improvement (some people recommend half a year later). Exercises related to the abdomen should be more cautious to keep the stool smooth; 3. Symptomatic treatment: fever can be treated with oral ibuprofen and acetaminophen to reduce fever. ; (The common dose of ibuprofen is 10mg/kg. times, and the common dose of acetaminophen is 15mg/kg. times), drink water appropriately. If necessary, appropriate sedation, cough relieving and other treatments; 4. Antiviral treatment: such as acyclovir, this drugIn virus-infected cells, the drug is converted into a triphosphate form by the action of viral thymus kinase and cellular enzymes. By inhibiting the synthesis of viral DNA polymerase, it produces an antiviral effect. This drug has no significant effect on improving symptoms or shortening the course of the disease. Function; 5. Hormone therapy: It can be used appropriately in patients with serious throat lesions and edema, such as central nervous system complications, thrombocytopenic purpura, autohemolytic anemia, myocarditis, pericarditis, etc., hospitalization status Doctors may consider using it. 06. Preventive work must be done well so that the baby can be healthier. 1. Please continue to breastfeed within 6 months, as your own antibodies can resist many diseases; 2. After 6 months, you should also avoid contact with too many people, such as Avoid taking your baby to crowded places such as vegetable markets and roadsides. However, you can arrange your time appropriately in healthy places such as grasslands and parks; 3. Keep the indoor environment hygienic and clean, and clean frequently; 4. Avoid talking to your baby Kissing, adults’ saliva actually contains a lot of viruses. Babies are still too young. Even though they are very cute, they must avoid mouth-to-mouth kissing; 5. Many babies will eat their own hands, feet, and feet. Therefore, in fact, the hands and feet should also avoid touching the hands of adults. If you accidentally kiss your baby\’s hands and feet due to saliva contact, you\’d better remember to clean them well.