What's Going Around?

Chickenpox

Chickenpox

Symptoms

We are currently seeing cases of chickenpox, a viral illness that is caused by a very contagious virus, varicella zoster. To contract chickenpox, a child usually is exposed to another child with it. Then, in about 2 weeks, the child develops a mild fever and an itchy, bumpy red rash. The red bumps turn into very small blisters. The blisters eventually crust over and scab, and then heal back to normal skin. There is a very effective vaccine to prevent your child from getting chickenpox, and most children who have not had chickenpox should receive the vaccine at any time after their first birthday.

Colds and Upper Respiratory Infections

Colds and Upper Respiratory Infections

Symptoms

Colds, upper respiratory infections, and URIs are common terms we use to describe viral illnesses that cause nasal congestion, runny nose, sneezing, sore throat, fever, and cough. The fever usually lasts for 2-3 days, and the cough with congestion and runny nose may last for 5-10 days. The typical preschool-age child may experience 6-10 colds per year. Most colds resolve on their own with rest and fluids, but some may lead to ear infection, sinus infection, asthma attack, or other complications. If you are concerned about the possibility of one of these complications, please have your child seen in our office for an evaluation.

Cough

Cough

Symptoms

Cough is typically one of the most prominent and bothersome symptoms of viral respiratory infections. Coughing is an important and beneficial reflex that our bodies need to clear secretions and to keep open our major airways during the course of a viral cold or upper respiratory infection. However, severe or persistent cough can be associated with asthma, pneumonia, sinus infections, and bronchiolitis, and should be evaluated by your health care provider.

Enterovirus

Enterovirus

Symptoms

We are currently seeing children and adolescents with infections caused by the enteroviruses, a group of viruses that often cause illness during the summer and the early fall months. The commonly used term "enterovirus" includes the coxsackie viruses, the echoviruses, and the enteroviruses. These viruses often cause a fever, and also may cause a rash, respiratory or cold symptoms, and vomiting with diarrhea. Hand-foot-mouth disease, a rash that involves those areas of the body, is a common enteroviral infection that occurs in children. More serious illnesses that are caused by these viruses include meningitis, heart infections, and eye infections. For mild illnesses caused by the enteroviruses, the best treatment is adequate rest, plenty of fluids, and fever control.

Enterovirus D68 (EV-D68)

Enterovirus D68 (EV-D68)

Symptoms

Enteroviruses frequently cause mild illness in the summer and fall. This year, Enterovirus D68 (EV-D68), is a unique virus that shares features with the common cold viruses. Most infections are mild and self-limited and will last 5 to 7 days. A "small" group of children and adolescents, especially those with asthma, are experiencing more severe respiratory symptoms with wheezing and shortness of breath. Note: for most cases, a test for EV-68 is not required because it will not affect the course of the illness.

No vaccines are available for EV-68 and there are not any antiviral medications that treat this virus.

If your child has a history of asthma:

• Continue with your child's current asthma treatments


• Make sure your son/daughter has his/her inhaler and other asthma medications at all times


• If your child usually uses a controller medication (e.g an inhaled steroid) during the winter season or with colds, consider the possibility of starting the controller medication now.


• Make sure your child's teacher or caregiver knows of your child's asthma

• Having serious trouble breathing (e.g. chest retracts or lips and/or fingers turn blue)


• is unresponsive or difficult to arouse


• Has slurred speech, paralysis, or severe headache

• Your child's cold seems severe and/or he/she is uncomfortable with their breathing


• Your child can't sleep due to the respiratory symptoms


• Your child has ear pain or other significant pain that is not relieved with pain medication

• Frequent fluids, rest and fever management.


• Frequent hand washing...cover your mouth when coughing


• Avoid kissing, hugging and sharing drinks with people who are sick.


• Disinfect surfaces in your house such as countertops and toys.

Hand-Foot-Mouth Disease

Hand-Foot-Mouth Disease

Symptoms

Hand-foot-mouth disease is a common viral illness caused by the Coxsackie A-16 virus (a member of the enterovirus family). Its name describes the location of the rash during the illness.
Typically children experience fever and small blisters in the mouth in the first few days followed by small blisters on the hands and then feet. Sometimes the rash is seen in the diaper area as well. The mouth blisters can be painful. Ibuprofen or acetaminophen can be given as needed for pain relief. It is important to make sure your child receives plenty of fluids. Cold liquids may provide pain relief as well.

Call our office for an appointment if you think your child may be showing symptoms of dehydration during this illness (urinating less than every 8 hours, dry mouth, or lethargy); if the fever persists after the first 3-4 days; or if you cannot keep the pain under control.

Mouth Blisters (Herpangina)

Mouth Blisters (Herpangina)

Symptoms

Herpangina is an illness caused by a virus, with small blister-like bumps or ulcers in the back of throat or the roof of the mouth. The child may have a high fever with the illness.
Herpangina is a common disease in children and is usually seen in children between the ages of 1 and 4, most often in the summer and fall. Good handwashing is necessary to help prevent the spread of the disease.
Treatment for herpangina is to help decrease the severity of the symptoms. Since it is a viral infection, antibiotics are ineffective. Treatment may include increased fluid intake, and acetaminophen for fever and pain.
If the child is not taking fluids well and there is concern about hydration, you should bring the child in to the office.

Pertussis (Whooping Cough)

Pertussis (Whooping Cough)

Symptoms

We have seen an increase in cases of Pertussis in recent years. Pertussis, or whooping cough, is a respiratory illness that begins with mild cold symptoms and progresses to a severe cough. The cough comes in spasms and is sometimes characterized by a high-pitched whooping sound followed by vomiting. Classic pertussis lasts several weeks with some cases lasting 10 weeks or longer. Pertussis is most severe when it occurs in the first 6 months of life, particularly in those who are unimmunized or who are born prematurely. Older siblings and adults with mild symptoms are an important reservoir of infection for young children and infants. Pertussis is diagnosed clinically and confirmed with laboratory tests.

Treatment

While antibiotics have minimal effect on the course of the illness once the classic whooping cough has begun, they are recommended to limit the spread of the illness. Confirmation of the illness by a medical provider helps guard against the overuse of antibiotics in the setting of a viral illness and subsequent development of organisms that are resistant to antibiotics. Control measures: All household contacts of young infants should receive a pertussis vaccine booster. Others who are unimmunized or under-immunized should complete the recommended schedule of immunizations. Household contacts and other close contacts of those who have been diagnosed with pertussis should receive prophylactic antibiotic treatment to prevent transmission of the disease. Students and school staff with a confirmed diagnosis of pertussis should be excused from school until they have completed a five day course of antibiotic therapy.

Strep Throat

Strep Throat

Symptoms

If your child has a fever, sore throat, headache, or stomachache without any other viral symptoms like congestion or cough, it may be strep throat. Bacteria, called Group A strep, cause this type of sore throat. To diagnose strep throat, your provider will require a swab of your child's throat, and antibiotics will be needed if the strep test is positive. Call our office if you think your child may have strep throat.

Upper Respiratory Infection

Upper Respiratory Infection

Symptoms

Symptoms of viral upper respiratory infections include severe nasal congestion and secretions, sore throat, occasional vomiting and fever for 2-3 days. These symptoms are followed by a dry, persistent cough that may last for 5-10 days.

Vomiting and Diarrhea

Vomiting and Diarrhea

Symptoms

Vomiting and diarrhea is usually caused by viral gastroenteritis which causes inflammation and irritation of the stomach and the intestines. This illness, often called the "stomach flu" typically lasts 1-2 days, with diarrhea lasting a few days longer.

It is important to make sure that your child does not get dehydrated with this condition. Offer Gatorade, Pedialyte, or warm soda pop in small amounts every 20 minutes until your child can keep liquids down. If they are unable to keep liquids down, back off for 2 hours. the try the small amounts again. If your child has few wet diapers and does not make tears, or appears limp or lethargic, they may be dehydrated and we will need to see them in our office.