27-month-old baby has hand, foot and mouth disease 3 times, sometimes no fever, no rash

Cao Thơm - An Phương |

Hanoi - A 27-month-old baby boy has had hand, foot and mouth disease 3 times. Doctors warn that children can still re-infect many times because the body does not create lasting immunity.

At the Department of Pediatrics and Neonatal Unit, Thanh Nhan Hospital, Ms. Tran Thi Thanh Mai (Bach Mai ward, Hanoi) is still worried when her 27-month-old son continues to be hospitalized due to hand, foot and mouth disease.

Before being admitted to the hospital, the baby had a high fever for two days, mouthache, boils on his body and cried more than usual. "This is the third time my child has had hand, foot and mouth disease, so the family is very worried, especially because when the disease becomes severe, if the child has a lot of convulsions, it can affect the brain," Ms. Mai shared.

Lần đầu mắc bệnh, con chị Mai được chẩn đoán nhiễm chủng Coxsackievirus A16 (CA16) với biểu hiện điển hình như sốt và nổi ban ở tay chân. Tuy nhiên, ở lần thứ hai khi nhiễm Enterovirus 71 (EV71), bé lại không sốt, không nổi ban, khiến gia đình khó phát hiện hơn. Đến lần này, bé tiếp tục tái nhiễm chủng CA16. Ảnh: Hạnh Thơm
The first time she contracted the disease, Ms. Mai's child was diagnosed with Coxsackievirus A16 (CA16) strain with typical symptoms such as fever and rash on her hands and feet. However, the second time when infected with Enterovirus 71 (EV71), the baby did not have a fever or rash, making it more difficult for the family to detect. This time, the baby continued to re-infect with CA16 strain. Photo: Hanh Thom

Ms. Mai's child's case is not unremarkable in the context of the increasing number of hand, foot and mouth disease cases in many localities. According to the Ministry of Health, from the beginning of 2026 to now, the whole country has recorded more than 34,000 cases of hand, foot and mouth disease, including 8 deaths. Most cases are concentrated in children under 10 years old, especially children aged 1-5 years old going to nurseries and kindergartens.

BSCKII Nghiem Thi Mai Sang, Head of Pediatrics and Neonatal Unit, Thanh Nhan Hospital, said that in the past 2 months, the number of children coming for examination and treatment of hand, foot and mouth disease has increased significantly compared to the previous period.

Số ca mắc tay chân miệng gia tăng nhanh. Ảnh: Hạnh Thơm
The number of cases of hand, foot and mouth disease has increased rapidly recently. Photo: Hanh Thom

Children are often hospitalized with symptoms such as fever, blisters on hands and feet, mouth ulcers or prolonged high fever. However, not all cases have typical symptoms. Some children only have fever and sore throat but no rash on hands and feet, making diagnosis difficult.

According to doctors, EV71 virus is often more dangerous because it easily causes severe complications and atypical manifestations. The hospital recorded that about 40-50% of children treated for hand, foot and mouth disease in the last 2 months tested positive for EV71.

EV71 and CA16 do not create cross-immunity for each other. Children with EV71 can still continue to get CA16 in later times. Even after infection, the body cannot create a solid immunity, so children are still at risk of re-infection many times," the doctor emphasized.

Doctors also noted that hand, foot and mouth disease currently does not have specific treatment drugs but mainly controls symptoms, enhances nutrition, oral and throat hygiene and closely monitors the progression of the disease.

Bệnh tay chân miệng hiện chưa có thuốc điều trị đặc hiệu, việc điều trị chủ yếu nhằm kiểm soát triệu chứng và theo dõi sát nguy cơ biến chứng. Ảnh: Hạnh Thơm
Hand, foot and mouth disease currently has no specific treatment, the treatment is mainly to control symptoms and closely monitor the risk of complications. Photo: Hanh Thom

Because the disease is transmitted through the digestive tract, doctors recommend that parents should let children wash their hands regularly with soap, clean toys and personal belongings, keep the living environment clean, and limit taking children to crowded places during the epidemic season.

In addition, when children have signs of prolonged high fever, chills, tremors in limbs, convulsions or abnormal breathing, parents need to take their children to medical facilities early to avoid the risk of severe complications.

Cao Thơm - An Phương
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