When a young child develops roseola, the white blood cell count may be low in the early stages of the disease. If it is a simple roseola infantum, a small number of white blood cells may be high. In addition, when a child cries, the white blood cell count may also increase. When a young child goes to the emergency room, he or she must be treated promptly. Parents should not worry too much at this time as this is a relatively self-limiting disease. Is the white blood cell count high in the initial emergency blood test of a child? Roseola infantum is caused by a viral infection, and the white blood cell count is generally normal or low. Simple roseola infantum rarely causes high white blood cell counts, but some babies may have elevated white blood cell counts due to severe crying during blood tests. Roseola infantum, also known as infantile roseola and fever rash, is an acute rash infectious disease common in infants and young children caused by infection with human herpes virus type 6. When the disease occurs, irregular red spots appear on the back, neck and other parts of the body. Mild cold symptoms or persistent high temperature appear within 3-5 days, and a rash appears within 12-24 hours after the fever subsides. For most babies, the symptoms disappear within 1-3 days. The baby will not feel itchy, and it will heal in about a week unless in special circumstances, so there is no need to worry too much. The main causes of roseola infantum are infection with human herpes virus type 6 and low immunity of the baby, specifically: 1. Infection with human herpes virus type 6. The pathogen of roseola infantum is human herpesvirus type 6. Since the human body will develop immunity after being infected with this virus, reinfection rarely occurs. Therefore, the virus is not only spread by sick babies, but more commonly by healthy carriers among parents and family members, and can be transmitted through respiratory droplets. The fetus can obtain antibodies from the mother through the placenta. The antibody positivity rate is 25% at 4 months after birth, 76% at 11 months, 90% at 5 years old, and 98% at 17 years old. Roseola infantum is more common in babies aged 6-18 months and is rare after the age of 3. It occurs more frequently in the spring and autumn rainy seasons, with no gender difference. 2. The baby has low resistance. Babies under 1 year old are not fully developed and have poor ability to resist diseases. Especially for babies after 6 months old, the levels of anti-infection substances such as antibodies and nutrients such as iron from the mother slowly decrease, while the baby's own ability to synthesize antibodies is still imperfect. Therefore, the baby's ability to resist infectious diseases gradually decreases, and he is prone to various infectious diseases, especially common colds and fevers. Symptoms of roseola infantum There are two stages of roseola infantum. After an incubation period of 5-15 days, the following symptoms appear first: 1. The body temperature suddenly reaches 39℃-40℃ and will continue to have a fever for three or four days, but the child's spirit and appetite are relatively good. 2. The fever goes away after taking antipyretics, but the fever comes back again once the effect of the medicine wears off. 3. When the fever is high, most people will have diarrhea and watery stools, but rarely have a runny nose or cough, or the symptoms may be mild. 4. Sometimes high fever convulsions occur, and some children may also have symptoms such as cough, swollen lymph nodes in the neck, and ear pain. 5. Routine blood examination showed a decrease in white blood cells and a significant increase in lymphocytes. The second stage begins about 4 days after the onset of the disease. The symptoms at this time include: 1. Body temperature quickly returns to normal. 2. Small, clear pink spotted rashes appear, which fade when pressed. They are mostly distributed on the head and trunk and can last for about 4 days without pigmentation or desquamation. 3. Most cases occur at 6-12 months of age, and 50%-60% of children develop the disease at 8-10 months of age. Healthy children rarely have complications, but immunocompromised children may develop complications such as hepatitis or pneumonia. Because meningitis can resemble a young child's emergency room visit, doctors do further testing to rule out a bacterial cause of meningitis. |
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