What Are the Symptoms of Chickenpox vs. Hand, Foot, and Mouth Disease?
Chickenpox Symptoms
Rash
healthy children broadly experience one to two days of fever, afflictive throat, and malaise approximately 2 weeks following exposure to VZV. Within 24 hours of these symptoms, a characteristic foolhardy develops initially on the torso and then spreads over the following 7 to 10 days outbound to the head, arms, and legs. Skin lesions progress through a predictable evolution from a crimson papule ( “ bug bite “ appearance ) to blister ( vesicle ) to a pustule ( pus-filled blister ), which then scabs over. The vesicle and pustular fluids are highly concentrated with infectious virus particles .
New lesions characteristically come in recurring “ waves ” over the skin open. The patient may therefore have newly formed papules, middle-aged vesicles and pustules, and crusted lesions all at the lapp clock. At the extremum of the disease, a patient may have over 300 skin lesions at one clock time. once all lesions are scabbed over and no newfangled lesions are developing, the person is no long contagious. The lesions rarely cause permanent scar, unless secondary coil infection develops ( see below ). Lesions may normally be found in the mouth and may besides involve the genitalia.
Complications
In healthy children, chickenpox is a balmy disease. Adults are 25 % more likely to have significant complications from the diseases. common complications affecting both children and adults include the follow :
- Skin infection: Secondary bacterial infections caused by either Staphylococcus or Streptococcus bacteria are well described. Rarely, an invasive form of Streptococcus can quickly spread throughout the body and may be life-threatening.
- Pneumonia: This is a relatively rare complication in healthy children but is the primary cause of hospitalization for adults (occurring in one in 400 cases) and has a mortality (death) rate of between 10%-30%.
- Neurologic complications: Children most commonly develop an inflammation of the balance center of the brain called acute cerebellar ataxia. Symptoms of abnormal eye movements and poor balance develop in about one in 4,000 children approximately one week into the skin manifestations of chickenpox. Symptoms generally last for a few days, and a complete recovery is common. Adults more commonly develop a more generalized brain inflammation (encephalitis) whose symptoms may include delirium and seizures. Some studies report a 10% mortality rate and a 15% rate of developing long-term neurologic side effects in survivors.
- Reye’s syndrome: This rare childhood complication of chickenpox (and influenza) is most commonly associated with the administration of aspirin. A rapid progression of nausea, vomiting, headache, delirium, and combativeness that may progress to coma is a common pattern of deterioration. Supportive measures are the only therapy.
- Rare complications: Hepatitis, kidney disease, ulcers of the intestinal tract, and inflammation of the testes (orchitis) have all been described. Chickenpox lesions involving the eye may cause scarring and permanently affect vision.
Chickenpox and Pregnancy
The first case of pregnancy-associated complications of VZV was reported in 1947. further studies have shown that most cases of congenital ( in the uterus ) infection occur in infants whose mothers were infected with VZV between 8 and 20 weeks ‘ gestation. congenital infection occurs only in infants born to mothers who experience VZV clinical infection ( chickenpox ) during pregnancy. Women who are immune to VZV and are exposed to chickenpox during pregnancy do not carry the same risk profile for their baby. Studies indicate that the risk of fetal anomalies as a consequence of congenital VZV infection is very little ( 0.4 % -2 % ) .
Complications that have been documented include skin paint abnormalities and scarring ( presumably due to intrauterine skin infections ), eye abnormalities, brain structural abnormalities resulting in mental retardation, and structural abnormalities of the arms and legs. enate shingles during any spare of pregnancy has not been associated with congenital abnormalities. Non-VZV-immune fraught women can be reassured that set shingles ( herpes zoster ) infection is only catching from directly contact with open lesions.
Maternal VZV infection during the last 2 weeks of a pregnancy carries an ill risk for the baby. Infected infants have up to a 25 % deathrate ( death ) rate, and the worse prognosis exists for those infants whose mothers develop chickenpox during the last 5 days of parturiency. Overwhelming popularize sepsis ( infection of the bloodstream that spreads throughout the body ) and multiple electric organ infection and failure lead to such a blue prognosis. specific anti-VZV gamma globulin can be used to lessen the austereness of neonatal disease
Hand, Foot, and Mouth Disease Symptoms
Hand, foot, and mouth disease normally occurs in the spring and fall seasons but may occur at any clock time during the year. The initial symptoms include
- fever
- general malaise (poor appetite, aches and pains, etc.)
These symptoms by and large last one to two days before a blister-like rash develops on the hands, feet, and in the mouth. The rash initially appears as belittled loss spots but then develops into vesicles ( blisters ). The blisters may develop on the gums, inner impudence, and tongue, and patients may complain of mouth pain and a sore throat.
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These new patients tend to drool and avoid swallow and may refuse to drink or eat because of the discomfort. very unseasoned infants may evening become dehydrate due to the refusal to drink .
rarely, other more serious complications occur, including viral meningitis ( aseptic meningitis ) and encephalitis. The symptoms associated with these complications include :
- high fever,
- headache,
- legarthy,
- irritability,
- stiff neck, and
- back pain.
If your child has any of these additional symptoms, you should seek medical attention. If your child has any of these extra symptoms, you should seek medical attention .