Complications
Due to reduced fluid intake secondary to the painful mouth ulcers. Adequate fluid replacement (oral or intravenous) according to the patient's age and clinical condition will be required.
Patients with localised or diffuse spreading skin erythema and/or persistent fever should be evaluated for infection and considered for empirical oral antibiotic coverage.
Infection with EV71 may lead to this complication.
An acute or sub-acute onset of a febrile illness, altered mental status, focal neurological abnormalities, and seizures raises suspicion for this condition.
The patient should be admitted to hospital for symptomatic and supportive treatment.
Infection with EV71 may lead to this complication.
The patient will have limb weakness.
The patient should be admitted to hospital for symptomatic and supportive treatment.
Infection with EV71 may lead to aseptic meningitis.
Viral meningitis may cause fever, headache, stiff neck, or back pain.
The patient should be admitted to hospital for symptomatic and supportive treatment.
Infection with EV71 may lead to this complication.
Symptoms may include chest pain, dyspnoea, orthopnoea, syncope, fatigue, and palpitations.
The patient should be admitted to hospital for symptomatic and supportive treatment.
Infection with EV71 may lead to these complications.
Patient will have shortness of breath and respiratory distress.
The patient should be admitted to hospital for symptomatic and supportive treatment.
Can occur when a woman contracts EV71 infection during her pregnancy.[19]
Fetal damage can occur during gestation, and infection can be associated with numerous congenital abnormalities and death.
Can occur when a woman has hand-foot-and-mouth disease caused by coxsackievirus A16 during pregnancy.[20]
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