Patient V.M.H. (24 months old, male, residing in Tan Nhut, Ho Chi Minh City), admitted to the hospital on the 4th with a fever and startling, shaking eyes and limbs, cold limbs, and bloating ( purple venom). According to the family, the child had symptoms from the 1st to the 3rd day of nausea, vomiting, pink rashes, blisters in the palms and soles, and was treated at a private doctor's clinic and took unknown medicine.
At the Emergency Department, City Children's Hospital, the child had drowsiness, mild pulse, phlegm, congenital skin, heart rate > 200 times/minute, and continuous high fever. The child was diagnosed with grade 4 hand, foot and mouth disease. Doctors quickly placed an endotracheal regimen to breathe a machine, prevent shock with dichence testing, dobutamine, adrenaline based on instructions to measure invasive and positive arterial blood pressure, lower fever, but the condition still could not improve, and had to be continuously filtered.
According to Dr. Nguyen Minh Tien - Deputy Director of the City Children's Hospital, the child's condition is complicated, the heart rate is still increased > 210 - 220 times/minute, the consultants decided to apply the technique of absorbancing blood through the body (ECMO) to support the patient's circulatory respiratory system, combined with continuous blood filtration. After nearly 2 weeks of treatment, the patient's condition gradually improved, he was alert, stable in the blood and blood, and had ECMO, ventilator, and alert.
In this case, we would like to pay attention to parents, need to detect early signs of suspected signs of a child with hand, foot and mouth disease to take the child for examination such as: fever, mouth ulcers, rash, or not with water in the palms, soles of feet, knees, buttocks, as well as early detection of one of the following severe signs to take the child to the hospital immediately, even at night: high fever from 39 degrees Celsius or more; fatigue, unusual breathing; shaking, venting; complaining; crying, buroting; convulsions, coma; shaking limbs, sitting unable; weak limbs, diarrhea; bloating skin..., Dr. Nguyen Minh Tien noted.
