infectious disease/hand-foot-and-mouth disease

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686463876c78b8d82816dd32

Pediatrics

infectious disease

hand-foot-and-mouth disease

A 4-year-old girl is brought to a family clinic by her parents, expressing concern because she has been irritable, refusing to drink for the past day, and has developed a low-grade fever. Her parents also noticed small, painful sores in her mouth. Upon examination, her temperature is 38.4 °C, pulse 120/min, respiratory rate 24/min, and oxygen saturation 99% on room air. Oral inspection reveals multiple small, vesicular lesions on the soft palate, tonsillar pillars, and buccal mucosa, some of which have already ulcerated. A scattered, non-itchy maculopapular rash with some small vesicles is also observed on her palms, soles, and buttocks. Given this presentation, what is the most likely diagnosis and the appropriate initial management strategy?

Lab ParameterValueReference Range
White Blood Cells (WBC)9.8 x 10^9/L4.5-13.5 x 10^9/L
C-reactive Protein (CRP)8 mg/L< 5 mg/L

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