Rash without fever
Viral rash in toddler with no fever: Diagnosis, types, and treatments
Toddlers can develop a rash as a result of a viral infection. Although fever is a common symptom of viral infections, not all toddlers with a viral rash also experience fever.
In this article, we discuss the causes, symptoms, and treatment of a viral rash with no fever in toddlers.
Toddlers can develop a rash as a result of a viral infection. The exact type of rash depends on the underlying cause. Below, we look at a few common viral rashes that occur in toddlers.
Roseola
Roseola, or sixth disease, is a viral infection resulting from human herpesvirus 6 (HHV-6). This condition is most common in infants and toddlers under 2 years of age.
Roseola causes a high fever of about 104°F (40°C) for 3–5 days. Once the fever drops, a distinctive rash appears on the torso. The rash contains raised bumps that may feel itchy or painful, and it may spread to the arms, neck, or face.
Other symptoms of roseola include:
- fatigue
- a headache
- irritability
- upset stomach
- diarrhea
- a cough
- inflammation of the eye
Treatment
There is no specific treatment or vaccine available for roseola. People can prevent the spread of roseola and HHV-6-related disease by:
- avoiding contact with people who have an HHV-6 infection
- keeping their child home when sick
- washing the hands thoroughly after interacting with a person who is sick
- washing bedding, clothing, and other items that the person came into contact with while sick
Over-the-counter (OTC) pain relievers, such as ibuprofen, may help reduce a high fever. Treatment for a roseola rash usually involves bed rest and sufficient fluid intake.
Although most toddlers fully recover from roseola within 1–2 weeks, HHV-6 infections present some risk for complications, such as:
- encephalitis
- myocarditis
- hepatitis
- Guillain-Barré syndrome
- muscle damage
- low platelet count
Hand, foot, and mouth disease
Hand, foot, and mouth disease (HFMD) occurs due to human enteroviruses (EV), most commonly coxsackievirus A16. HFMD typically affects infants and children younger than 5 years of age. However, adults can have HFMD if they did not have exposure to the viruses that cause it during childhood.
Although HFMD leads to fever in roughly 90% of people, a low percentage of children have no fever or accompanying symptoms.
HFMD typically causes an itchy rash on the hands, feet, and lining of the mouth and throat. The rash can consist of flat or raised bumps.
Toddlers with HFMD may exhibit:
- flu-like symptoms
- refusal to drink or eat
- excessive drooling
- severe fatigue
- irritability
Symptoms of HFMD usually resolve within 7–10 days.
Treatment
As with other viral infections, HFMD clears up on its own without medical treatment. However, people with HFMD should get plenty of rest and drink clear fluids to prevent dehydration. OTC pain medications can help reduce fever and relieve pain.
Rubella
Rubella is a contagious viral infection that affects children and adults. Rubella causes mild or unnoticeable symptoms in children. According to the Centers for Disease Control and Prevention (CDC), a red rash is often the first noticeable indication of rubella.
An estimated 50–80% of people with rubella develop a rash. A rubella rash starts on the face and neck, but it can spread to the chest, torso, and other areas of the body.
Rubella symptoms usually appear within 2–3 weeks of the initial infection. While some children develop a rash without additional symptoms, others may experience mild-to-moderate symptoms a few days before the rash appears.
Symptoms of rubella include:
- a headache
- redness or swelling of the whites of the eye
- physical discomfort
- a cough
- a runny nose
- swollen lymph nodes
- low grade fever
Treatment
There is no specific treatment for rubella, but the symptoms usually resolve once the immune system gets the viral infection under control. Bed rest and OTC medications can help alleviate headaches and fever.
Fifth disease
Fifth disease is a rash that results from a parvovirus B19 infection. It is more common in children than adults.
Fifth disease causes a bright red rash on the cheeks, which may be less apparent in people with darker skin. The rash may appear on other areas of the body, including the:
- arms
- legs
- back
- chest
- buttocks
Some people only develop the rash, while others experience other mild symptoms, such as:
- a headache
- fatigue
- a runny nose or congestion
- painful or swollen joints
- low grade fever
Treatment
Fifth disease typically clears up on its own. However, OTC anti-inflammatory drugs may help relieve joint pain and swelling.
Parents or caregivers should take a toddler to a doctor if they develop a skin rash alongside severe symptoms, such as:
- high fever
- vomiting
- a severe or intense headache
- a refusal to eat or drink
It is also important to seek medical attention if an infant or toddler under 6 months of age develops a new rash.
Toddlers and young children often develop viral rashes as their immune system continues developing. Most causes of viral rashes without fever are not serious and resolve within a few days to a week.
Parents or caregivers should consult a healthcare professional if a toddler has a rash that lasts longer than a week or if they develop new or worsening symptoms.
Viral rash in toddler with no fever: Diagnosis, types, and treatments
Toddlers can develop a rash as a result of a viral infection. Although fever is a common symptom of viral infections, not all toddlers with a viral rash also experience fever.
In this article, we discuss the causes, symptoms, and treatment of a viral rash with no fever in toddlers.
Toddlers can develop a rash as a result of a viral infection. The exact type of rash depends on the underlying cause. Below, we look at a few common viral rashes that occur in toddlers.
Roseola
Roseola, or sixth disease, is a viral infection resulting from human herpesvirus 6 (HHV-6). This condition is most common in infants and toddlers under 2 years of age.
Roseola causes a high fever of about 104°F (40°C) for 3–5 days. Once the fever drops, a distinctive rash appears on the torso. The rash contains raised bumps that may feel itchy or painful, and it may spread to the arms, neck, or face.
Other symptoms of roseola include:
- fatigue
- a headache
- irritability
- upset stomach
- diarrhea
- a cough
- inflammation of the eye
Treatment
There is no specific treatment or vaccine available for roseola. People can prevent the spread of roseola and HHV-6-related disease by:
- avoiding contact with people who have an HHV-6 infection
- keeping their child home when sick
- washing the hands thoroughly after interacting with a person who is sick
- washing bedding, clothing, and other items that the person came into contact with while sick
Over-the-counter (OTC) pain relievers, such as ibuprofen, may help reduce a high fever. Treatment for a roseola rash usually involves bed rest and sufficient fluid intake.
Although most toddlers fully recover from roseola within 1–2 weeks, HHV-6 infections present some risk for complications, such as:
- encephalitis
- myocarditis
- hepatitis
- Guillain-Barré syndrome
- muscle damage
- low platelet count
Hand, foot, and mouth disease
Hand, foot, and mouth disease (HFMD) occurs due to human enteroviruses (EV), most commonly coxsackievirus A16. HFMD typically affects infants and children younger than 5 years of age. However, adults can have HFMD if they did not have exposure to the viruses that cause it during childhood.
Although HFMD leads to fever in roughly 90% of people, a low percentage of children have no fever or accompanying symptoms.
HFMD typically causes an itchy rash on the hands, feet, and lining of the mouth and throat. The rash can consist of flat or raised bumps.
Toddlers with HFMD may exhibit:
- flu-like symptoms
- refusal to drink or eat
- excessive drooling
- severe fatigue
- irritability
Symptoms of HFMD usually resolve within 7–10 days.
Treatment
As with other viral infections, HFMD clears up on its own without medical treatment. However, people with HFMD should get plenty of rest and drink clear fluids to prevent dehydration. OTC pain medications can help reduce fever and relieve pain.
Rubella
Rubella is a contagious viral infection that affects children and adults. Rubella causes mild or unnoticeable symptoms in children. According to the Centers for Disease Control and Prevention (CDC), a red rash is often the first noticeable indication of rubella.
An estimated 50–80% of people with rubella develop a rash. A rubella rash starts on the face and neck, but it can spread to the chest, torso, and other areas of the body.
Rubella symptoms usually appear within 2–3 weeks of the initial infection. While some children develop a rash without additional symptoms, others may experience mild-to-moderate symptoms a few days before the rash appears.
Symptoms of rubella include:
- a headache
- redness or swelling of the whites of the eye
- physical discomfort
- a cough
- a runny nose
- swollen lymph nodes
- low grade fever
Treatment
There is no specific treatment for rubella, but the symptoms usually resolve once the immune system gets the viral infection under control. Bed rest and OTC medications can help alleviate headaches and fever.
Fifth disease
Fifth disease is a rash that results from a parvovirus B19 infection. It is more common in children than adults.
Fifth disease causes a bright red rash on the cheeks, which may be less apparent in people with darker skin. The rash may appear on other areas of the body, including the:
- arms
- legs
- back
- chest
- buttocks
Some people only develop the rash, while others experience other mild symptoms, such as:
- a headache
- fatigue
- a runny nose or congestion
- painful or swollen joints
- low grade fever
Treatment
Fifth disease typically clears up on its own. However, OTC anti-inflammatory drugs may help relieve joint pain and swelling.
Parents or caregivers should take a toddler to a doctor if they develop a skin rash alongside severe symptoms, such as:
- high fever
- vomiting
- a severe or intense headache
- a refusal to eat or drink
It is also important to seek medical attention if an infant or toddler under 6 months of age develops a new rash.
Toddlers and young children often develop viral rashes as their immune system continues developing. Most causes of viral rashes without fever are not serious and resolve within a few days to a week.
Parents or caregivers should consult a healthcare professional if a toddler has a rash that lasts longer than a week or if they develop new or worsening symptoms.
Rash in a child on the body, legs, back
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Parental leaflet on viral diseases
Parental leaflet.
Measles is a viral infection with a very high susceptibility. If a person has not had measles or has not been vaccinated against this infection, then after contact with the patient, infection occurs in almost 100% of cases. The measles virus is highly volatile. The virus can spread through ventilation pipes and elevator shafts - at the same time, children living on different floors of the house get sick.
The period from contact with a person with measles to the appearance of the first signs of the disease lasts from 7 to 14 days.
The disease begins with a severe headache, weakness, fever up to 40 degrees C. A little later, a runny nose, cough and almost complete lack of appetite join these symptoms.
Very characteristic of measles is the appearance of conjunctivitis - inflammation of the mucous membrane of the eyes, which is manifested by photophobia, lacrimation, sharp redness of the eyes, and subsequently - the appearance of purulent discharge. These symptoms last 2 to 4 days.
On the 4th day of illness, a rash appears , which looks like small red spots of various sizes (from 1 to 3 mm in diameter), with a tendency to merge. The rash occurs on the face and head (it is especially characteristic of its appearance behind the ears) and spreads throughout the body for 3-4 days. It is very characteristic of measles that the rash leaves behind pigmentation (dark spots that persist for several days), which disappears in the same sequence as the rash appears.
Measles can cause serious complications . These include inflammation of the lungs (pneumonia), inflammation of the middle ear (otitis media), and sometimes such a formidable complication as encephalitis (inflammation of the brain).
It must be remembered that after suffering from measles for a sufficiently long period of time (up to 2 months) there is a suppression of immunity, so the child can get sick with some cold or viral disease, so you need to protect him from excessive stress, if possible from contact with sick children.
After measles, lifelong immunity develops. All those who have had measles become immune to this infection.
The only reliable protection against the disease is vaccination against measles, which is included in the National Immunization Schedule.
Reminder for parents.
Rubella is an airborne viral infection. As a rule, children who stay in a water room for a long time with a child who is a source of infection get sick. Rubella in its manifestations is very similar to measles, but it is much easier.
The period from contact to the appearance of the first signs of illness lasts from 14 to 21 days.
Rubella begins with an increase in the occipital lymph nodes and an increase in body temperature up to 38 degrees C. A runny nose, and sometimes a cough, joins a little later. A rash appears 2 to 3 days after the onset of the disease. Rubella is characterized by a pink, punctate rash that begins with a rash on the face and spreads throughout the body. Rubella rash, unlike measles, never merges, there may be a slight itch. The period of rashes can be from several hours, during which there is no trace of the rash, up to 2 days.
The treatment of rubella is to relieve the main symptoms - the fight against fever, if any, the treatment of the common cold, expectorants.
Complications from rubella are rare.
After rubella, immunity also develops, re-infection is extremely rare, but can occur.
It is therefore very important to get the rubella vaccine, which, like the measles vaccine, is included in the National Immunization Schedule.
Note for parents.
Mumps (mumps) is a childhood viral infection characterized by acute inflammation in the salivary glands.
Infection occurs by airborne droplets. Susceptibility to this disease is about 50-60% (that is, 50-60% of those who were in contact and who were not ill and not vaccinated get sick).
It can take 11 to 23 days from contact with a sick mumps to the onset of illness.
Mumps begins with an increase in body temperature up to 39 degrees C and severe pain in or under the ear, aggravated by swallowing or chewing. At the same time, salivation increases. Swelling quickly grows in the area of the upper part of the neck and cheeks, touching this place causes severe pain in the child. Unpleasant symptoms disappear within three to four days: body temperature decreases, swelling decreases, pain disappears.
However, quite often mumps ends inflammation in glandular organs such as pancreas (pancreatitis), gonads. Past pancreatitis in some cases leads to diabetes mellitus . Inflammation of the gonads (testicles) is more common in boys. This significantly complicates the course of the disease, and in some cases may result in infertility. In especially severe cases, mumps can be complicated by viral meningitis (inflammation of the meninges), which is severe.
After a disease, a strong immunity is formed, but complications can lead to disability.
The only reliable protection against the disease is vaccination against mumps, which is included in the National Immunization Schedule.
Reminder for parents.
Varicella (chickenpox) is a common childhood infection. Mostly young children or preschoolers are ill. Susceptibility to the causative agent of chickenpox (the virus that causes chickenpox refers to herpes viruses) is also quite high. About 80% of contact persons who have not been ill before develop chickenpox.
14 to 21 days pass from the moment of contact with a patient with chickenpox until the first signs of the disease appear.
The disease begins with a rash. Usually it is one or two reddish spots, similar to a mosquito bite. These elements of the rash can be located on any part of the body, but most often they first appear on the stomach or face. Usually the rash spreads very quickly - new elements appear every few minutes or hours. Reddish spots, which at first look like mosquito bites, the next day take the form of bubbles filled with transparent contents. These blisters are very itchy. The rash spreads throughout the body, to the limbs, to the scalp. In severe cases, there are elements of the rash on the mucous membranes - in the mouth, nose, on the conjunctiva of the sclera, genitals, intestines. By the end of the first day of the disease, the general state of health worsens, the body temperature rises (up to 40 degrees C and above). The severity of the condition depends on the number of lesions. If there are elements of the rash on the mucous membranes of the pharynx, nose and on the conjunctiva of the sclera, then pharyngitis, rhinitis and conjunctivitis develop due to the addition of a bacterial infection. Bubbles open in a day or two with the formation of sores, which are covered with crusts. Headache, feeling unwell, fever persist until new rashes appear. This usually happens within 3 to 5 days. Within 5-7 days after the last sprinkling, the rash disappears.
Treatment of chickenpox is to reduce itching, intoxication and prevent bacterial complications. The elements of the rash must be lubricated with antiseptic solutions (as a rule, this is an aqueous solution of brilliant green or manganese). Treatment with coloring antiseptics prevents bacterial infection of rashes, allows you to track the dynamics of the appearance of rashes. It is necessary to monitor the hygiene of the mouth and nose, eyes - you can rinse your mouth with a solution of calendula, the mucous membranes of the nose and mouth also need to be treated with antiseptic solutions.
Complications of chickenpox include myocarditis - inflammation of the heart muscle, meningitis and meningoencephalitis (inflammation of the meninges, brain matter), inflammation of the kidneys (nephritis). Fortunately, these complications are quite rare. After chickenpox, as well as after all childhood infections, immunity develops. Re-infection happens, but very rarely.
Reminder for parents.
Scarlet fever is the only childhood infection caused not by viruses but by bacteria (group A streptococcus). This is an acute disease transmitted by airborne droplets. Infection through household items (toys, dishes) is also possible. Children of early and preschool age are ill. The most dangerous in terms of infection are patients in the first two to three days of the disease.
Scarlet fever begins very acutely with fever up to 39 degrees C, vomiting, headache. The most characteristic symptom of scarlet fever is tonsillitis , in which the mucous membrane of the throat has a bright red color, swelling is pronounced. The patient notes a sharp pain when swallowing. There may be a whitish coating on the tongue and tonsils. The tongue subsequently acquires a very characteristic appearance ( “crimson ”) - bright pink and coarsely granular.
By the end of the first beginning of the second day of illness, 9 appears0093 the second characteristic symptom of scarlet fever is a rash. It appears immediately on several parts of the body, most densely located in the folds (elbow, inguinal). Its distinguishing feature is that the bright red punctate scarlatinal rash is located on a red background, which gives the impression of a general confluent redness. Pressing on the skin leaves a white line . The rash may be spread all over the body, but there is always a clean (white) area of skin between the upper lip and nose, and also the chin. Itching is much less pronounced than with chickenpox.
Rash lasts up to 2 to 5 days. The manifestations of sore throat persist a little longer (up to 7-9 days).
Scarlet fever is usually treated with antibiotics because the causative agent of scarlet fever is a microbe that can be eliminated with antibiotics and strict adherence to bed rest . Also very important is the local treatment of angina and detoxification (removal of toxins from the body that are formed during the vital activity of microorganisms - for this they give plenty of drink). Vitamins, antipyretics are shown. Scarlet fever also has enough serious complications . Before the use of antibiotics, scarlet fever often resulted in the development of rheumatism with the formation of acquired heart defects or kidney disease. Currently, subject to well-prescribed treatment and careful adherence to recommendations, such complications are rare.
Almost exclusively children suffer from scarlet fever because with age a person acquires resistance to streptococci. Those who have been ill also acquire strong immunity.
Memo for parents.
Whooping cough is an acute infectious disease characterized by a long course. The hallmark of the disease is a spasmodic cough.
The mechanism of transmission of infection is airborne. A feature of whooping cough is the high susceptibility of children to it, starting from the first days of life.
From the moment of contact with a whooping cough patient until the first signs of the disease appear, takes from 3 to 15 days. Whooping cough feature is a gradual increase in cough within 2 to 3 weeks after its onset.
Typical signs of whooping cough:
- · persistent intensifying cough, gradually turning into spasmodic cough attacks (a series of coughing shocks rapidly following each other on one exhalation) with a convulsive breath, accompanied by a whistling lingering sound. In infants, such a cough can lead to respiratory arrest. Attacks of coughing are worse at night and end in the release of a small amount of viscous sputum, sometimes vomiting;
- puffiness of the face, hemorrhages in the sclera;
- ulcer on the frenulum of the tongue (due to injury from the edges of the teeth, since during a coughing fit the tongue protrudes to the limit, its tip bends upward).
Whooping cough is often complicated by bronchitis, otitis media, pneumonia, rectal prolapse, umbilical and inguinal hernias.
After having had whooping cough for a long time (several months), coughing fits may return, especially if the child catches a cold or during physical exertion.
The only reliable prevention against pertussis is vaccination with DPT, a vaccine included in the National Immunization Schedule. Parents' fears about the harmful effects of the vaccine are unfounded. The quality of the DTP vaccine is not inferior in its properties to vaccines produced in other countries.
Memo for parents.
Acute intestinal infections is a large group of diseases that occur with more or less similar symptoms, but can be caused by a huge number of pathogens: bacteria, viruses, protozoa.
In summer, the number of intestinal infections in children inevitably increases. There are several reasons for this.
Firstly, , in summer a large amount of raw vegetables, fruits and berries are consumed, on the unwashed surface of which a huge number of microbes, including potentially dangerous ones, live.
Secondly, , children spend a lot of time outdoors in summer, and not always even their parents remember that eating with clean hands is a mandatory rule .
The third reason : in the summer, getting into food (dairy products, meat, fish, broths), some pathogens multiply at a tremendous speed and quickly reach the amount that successfully breaks through the protective barriers of the gastrointestinal tract.
From the moment the pathogen enters the gastrointestinal tract to the onset of the disease, it can take from several hours to 7 days.
The disease begins with fever, malaise, weakness, lethargy. Appetite is sharply reduced, nausea, vomiting quickly joins. The chair is liquid, frequent with impurities. The consequence of fluid loss is dryness of the mucous membranes and skin, facial features are sharpened, the child loses weight, urinates little. Painful facial expression. If your child has the above signs of illness, call the doctor immediately. Self-treatment is not allowed .
Prevention of intestinal infections requires strict adherence to general hygiene measures in the home, when preparing food and while eating.
In the summer, all foodstuffs should be protected from flies. Ready food should be stored in the refrigerator: at a low temperature, even if microbes get into the food, they will not be able to multiply. The disease can also be caused by illegibility when buying products that are eaten without heat treatment - from the hands, outside the markets, where they do not pass sanitary control. When swimming in open water, in no case should water be swallowed. If you eat on the beach, wipe your hands with at least special wet wipes.
And remember that parental example is the best way to teach a child.
Parent Guide .
Tuberculosis is a chronic infectious disease caused by mycobacterium human tuberculosis, affecting mainly the respiratory organs, as well as all organs and systems of the body.
The source of infection for is people with tuberculosis. The most common is the air way of infection. Transmission factors are nasopharyngeal mucus, sputum and dust containing bacteria.
Reproduction of tuberculosis bacteria in the child's body leads to significant functional disorders with symptoms of intoxication: irritability appears or, conversely, lethargy, fatigue, headache, sweating. With a long course of the disease, the child loses weight, the skin becomes pale, and there is a tendency to inflammatory diseases. For children, a reaction from the lymph nodes is typical: they increase in size, become dense.