Don’t kiss your baby casually at gatherings of relatives and friends. Be careful to spread the “kiss disease”.

  Experts remind that more than 90% of adults have been infected with Epstein-Barr virus. If you love your child, you must protect your child and avoid excessive intimacy.

  Changsha Evening News Media Reporter Xu Yuan and intern Liu Yuanyuan

  Friends and family gatherings, cute babies are the most favored, squeeze their cute faces, and kiss their lips... Ouyang Wenwen, the chief physician of the Liver Disease Center of Hunan Children’s Hospital, reminds that during the National Day Mid-Autumn Festival, you should avoid being close to your baby to express love Kiss on the cheek, not to mention kissing.

Recently, infectious mononucleosis has entered a high-incidence period. It is an infectious disease caused by EB virus infection, commonly known as "kissing disease."

The disease is mainly infected through close contact of the mouth and nose with virus-laden saliva or nasal secretions. It can affect the liver, lungs, heart, kidney, brain and other important organs of the body.

Holidays are approaching, when relatives and friends gather, it is necessary to pay attention to moderate intimacy to protect children. 

  Close mouth and nose contact is the main route of transmission

  Recently, when Ms. Zhao bathed her 3-year-old son Ding Ding (a pseudonym), she found that the child had a lot of rashes and a bulge on the neck.

Some time ago, Ding Ding developed tonsil enlargement and was diagnosed as suppurative tonsillitis. After taking antibiotics for two consecutive days, he still did not get better. Now he has a rash again and his neck is swollen.

  The neck is swollen. Isn't it swollen lymph nodes?

Ms. Zhao hurriedly took the child to Hunan Children's Hospital for examination.

The doctor found through blood tests that in addition to the lymph nodes in the neck, the liver and spleen were also significantly enlarged. In the blood analysis, the proportion of atypical lymphocytes exceeded 10%, and blood indicators such as white blood cells increased significantly. Further examination of the child was positive for EB virus.

The doctor told Ms. Zhao that the child was suffering from infectious mononucleosis, or "leaflet" for short.

  "In the past two months, the hospital has received many such small patients. The main manifestations are fever, swollen lymph nodes in the neck, swollen eyelids, suppurative pharyngeal cheekitis, etc. Some children have a fever for several days, and the effect of taking medicine and injection It’s not good. I came to the hospital to find out the cause.” According to Ouyang's literature, the “leaflet” has the disease throughout the year, with a high incidence in spring and autumn. Most of the children suffering from this disease are kindergarten and school-age children.

Since the disease is mainly infected through oral and nose contact with virus-containing saliva, kissing is one of the ways of transmission of the virus, so it is commonly called "kissing disease". 

  "Flyers" are actually self-limiting diseases, which can be controlled by immune regulation and gradually healed.

However, "flyers" with repeated fever are prone to complications. If they are not properly treated in time, they may cause damage to multiple organs, hemophagocytic syndrome, and even death.  

  According to Ouyang Wenxian, a child named Wenwen (pseudonym) came to Hunan Children’s Hospital for treatment last year and was diagnosed as a “leaflet”. Due to repeated high fever, the doctor diagnosed Wenwen with hemophagocytic syndrome during follow-up examinations. The condition was very serious. Although he was actively treated, he could not be rescued.

  "In China, children at the kindergarten stage and lower grade primary school stage are more likely to get the disease. This is mainly related to personal hygiene habits and personal immune constitution. Children with bad hygiene habits and unclean living environments are more likely to contract this disease." Ouyang According to the literature, in daily life, adults kissing children, children usually like sucking their fingers, etc., may increase the risk of infection with "leaflets".

In addition, in places with complex environments, densely populated people, and poor air circulation, aerosols can also become a way for children to infect “leaflets”. 

  Symptoms are complex and diverse and easily confused with other diseases

  Pediatricians are no strangers to infectious mononucleosis, but the "leaflet" manifestations are complex and diverse, making some cases unable to be diagnosed early, and other cases receiving unnecessary or over-treatment.

  According to Ouyang literature, "leaflets" have symptoms of fever and tonsil inflammation, which are easily confused with febrile diseases, such as flu, suppurative tonsillitis, etc.; people with this disease will have early symptoms such as eyelid swelling and neck swelling, which are easy to be mistaken. Think of it as nephritis or hyperthyroidism; when some children have rash symptoms, they are easily mistaken for scarlet fever, measles, etc. 

  The "leaflet" is mainly caused by the Epstein-Barr virus. Although there is no specific antiviral drug at present, as long as symptomatic treatment, correct care, and if there are no complications, you can usually defeat it by your own immunity and generally will not leave sequelae. Complications after infection can become very dangerous.  

  Ouyang literature reminds us to be alert to the harm caused by the disease: one is affecting the liver, causing jaundice and abnormal liver function; the other is affecting the nervous system, causing encephalitis, aseptic meningitis, convulsions, cranial nerve palsy, etc., and it may also Cause depression and anxiety; thirdly affect the respiratory system, causing pneumonia, respiratory obstruction, etc.; fourthly affect the heart, causing viral myocarditis, pericarditis, arrhythmia, etc.; fifthly affect the kidneys, causing hematuria, interstitial nephritis, Glomerulonephritis, etc.; Sixth, it affects the blood system, causing thrombocytopenia and anemia.

In addition, if EB virus infection is not effectively controlled, it can develop into chronic active EB virus infection.

The disease is rare but fatal, and there is currently no medicine available. The only effective treatment is hematopoietic stem cell transplantation. The untreated death rate is 100%.

"For the'leaflet', there is currently no vaccine to prevent it. The main prevention methods are to do good hand hygiene and avoid contact with virus-containing saliva." Ouyang Wenxian said.

  Take fewer children to crowded places during holidays

  The Mid-Autumn Festival and National Day holiday is approaching, and parties delayed due to the impact of the new crown pneumonia epidemic have once again become frequent. Many parents plan to take their children out to visit relatives, travel, and party.

Ouyang Wenxian said: "Children have an imperfect immune system and are more susceptible to bacterial invasion. Parents must take protective measures." 

  According to Ouyang Literature, some preventive measures can be taken during travel: First, try to avoid bringing children into places with densely populated and poor environmental sanitation to reduce the risk of external infection; second, maintain good hygiene habits and teach children to wash their hands frequently. Pay attention to the cleaning and disinfection of hands and mouth; the third is to prevent outsiders from kissing and hugging children at will to avoid the spread of the virus through saliva; the fourth is to strengthen children's physical exercise to enhance their own immunity; the fifth is to promote the use of chopsticks when eating out, and adults should avoid Use self-use chopsticks to feed the children, feed them to the children after chewing, and taste the temperature of the milk powder against the bottle. 

  Parents should pay attention to the child's physical condition in time.

"If your child has symptoms such as fever, swollen eyelids, lumps on the neck, hepatosplenomegaly, or symptoms such as skin rashes, long-lasting symptoms after being bitten by mosquitoes, etc., you should go to a regular hospital to see a specialist in time to avoid misdiagnosis or Missed the best time for treatment." Ouyang Wenxian said.

  Ouyang literature reminds that there are many bacteria and viruses in the oral cavity of adults, including Epstein-Barr virus. More than 90% of adults have been infected with Epstein-Barr virus. Many adults’ saliva contains the virus, but adults have strong immunity and a small amount of viruses generally do not It causes illness. If the virus is transmitted to children, they will become sick.

When friends and relatives gather during holidays, if you love your children, you must protect your children and avoid being too close.