Saturday, 11 April 2009

Hand, Foot and Mouth

We brought back something from Malaysia. Something we'd rather leave behind.

Hand, foot and mouth disease!
*Cause: Coxsackie A Virus
Transmission: Direct contact/droplet
Incubation period: 3-6 days
Infectious period: Until blisters have gone! (We are highly infectious!!)
Clinical features: Vesicles on cheeks, gums and sides of tongue; papulovesicular lesions on palms, fingers, soles, toes, buttocks, genitals and limbs. Sore throat, fever and anorexia.
Diagnosis (Self!): Tests are unnecessary as clinical picture is sufficient.
Control: Exclusion is unnecessary as virus is excreted in faeces for weeks. Weeks! (Please whatever you do, do NOT touch our poo!)
Treatment: Symptomatic, ie. Panadol, TLC, lots of TLC!

*Source of information: Paediatric Handbook sixth edition from my medical student days. By the staff of The Royal Children's Hospital. Melbourne, Australia.

My hubby's palms. Yes he got it worst! And hopefully last. In the plane on our way home, Gary was as sick as he can be. He was tired, lethargic and weak. He was complaining all along and I totally ignored him! How bad can it be? (Well, I didn't know it was HFM then *gasp*, sorry!)


Apparently it is rather unusual in adults as we usually build our immunity as kids exposed to the virus. Thankfully I grew up alongside Malaysian germs, thus I should be immuned *fingers crossed*. He's so pimply on his face, neck, trunk, everywhere! I refuse to kiss him! Bleecchh!

Lucas has spots on his feet, hands and around his mouth. The vesicles have popped around his mouth and he looks like he constantly has crumbs around his mouth. I kiss him constantly, how could I not?? :D

He's still his bright, bubbly self. The worst is over. He's eating, he's happy and he's on the road to recovery. Lachie had it first, but he got over it pretty quickly. He was unwell for a couple of days, high temperatures and lethargy. He did complain of a sore mouth but did not have any rash.

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Maria said...

Oh my Grace! What is going on with you guys and getting sick??? Rotavirus, chicken pox and now hand, foot and mouth disease!? So when can we come over and boost Lucia's immune system? :P

Grace said...

LOL Maria! Tell me about it!! I'm sick of them getting sick!! Oh well, least they're giving their immune system a workout. Lucia is most welcomed over, we are SO socially deprived but are you sure you want pimply Lucia?????????

Maria said...

Methinks a pimply Lucia wouldn't go down well with the grandparents. Grandma pulls out the cold compress everytime Lucia bumps her head...she'd probably send Lucia off for a facial if she saw pimples on her face! :P

maggie said...

Poor thing! so 'geli' the spots.. make you feel like peeling them away.. hehe
Hope he gets better and Lucas looks different now.. i think he is more of a mixed between you two..

Grace said...

Maria: Grandmas!!!! I tell ya, they spoil 'em grandkids!! Our grandma fed lucas premium stock porridge with so much goodness now Lucas won't eat my gunk! groan... and Lachie thinks he can drive my car just because he was allowed to in Malaysia.... dream on!

Mags!! :) Eeiiyaa, you should see Gary now, he looks like he just walked out of a scary movie! Think we'll keep to ourselves for a while.

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