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| ||The chart below summarizes common childhood illness/allergy/irritations that relate to the throat, neck, and in or around the mouth.|
Note: This chart is only a guide and should not replace your doctor's advice.
What Are The Signs and Symptoms?
Is It Contagious?
Cat Scratch Disease
|Chronically swollen, tender glands in neck, head, and under arms, especially if child has been bitten or scratched by a cat; mild fever; headache; fatigue; poor appetite.|
|Cervical Adenitis||Large tender, firm, warm swelling on one side of neck, which may become red; fever.||Usually no, but can be depending on culprit.|
(Oral Herpes Stomatitis)
|Small, fluid-filled blister(s) on or near lips; may enlarge, burst, and crust over.||Yes; until after lesion(s) healed.|
|More than six hours without a wet diaper; dry mouth; lethargy; sunken soft spot on head; sunken eyes; skin that does not bounce back when pinched and released; irritability; increased heart rate and respiratory rate.|
Requires immediate medical attention
|Severe sore throat; fever; drooling; difficulty breathing; chills; difficulty swallowing.||Depends on culprit.|
Requires immediate medical attention if severe
|Occurs after contact with a particular food. May have dry, itchy rash on various parts of the body. May present with itching and swelling of face, lips, and mouth; hives; watery eyes and runny nose; vomiting, diarrhea, or difficulty breathing.|
|Gingivostomatitis||Small red blisters inside the mouth or on the lips. Fever; may refuse to eat or drink which can lead to dehydration; bad breath.|
|Hand, Foot, and Mouth Disease|
|Small blister-like sores in the mouth, and on the palms of the hands and/or the soles of the feet, and possibly the buttocks. Mild fever, sore throat, loss of appetite.||Yes; until fever is gone.|
|Kawasaki Disease||Fever, reddening of the eyes (conjunctivitis), red and dry lips, swollen tongue, gingivitis, swollen glands in the neck and a swollen, red, peeling skin on the hands and feet.|
(Sixth Disease; Baby Measles)
(Herpes Virus 6 or Herpes Virus 7)
|Sudden onset of high fever between 101° and 105°F for two to five days; irritable; bulging soft spot; swollen glands in neck; runny nose; diarrhea; swollen eyes. May have runny nose before or with the fever. After fever breaks, a rash appears on torso, spreading to neck, face, and arms.||Yes; through respiratory droplets, saliva, or feces.|
|Drooling, gum sensitivity, irritability, biting/gnawing, difficulty feeding, difficulty sleeping, runny nose, loose bowel movements, low-grade fever. May pull on ear.|
|White patches in mouth and on tongue that looks like milk but does not scrape off easily (and is not painful). May be irritable and refuse to eat.||Yes; until after 24 hours of anti-fungal treatment.|
Bacterial and Viral
|Swollen, red, tender tonsils sometimes flecked with white spots. Sore throat; swollen glands; difficulty swallowing; fever; chills; ear pain; cold symptoms.||Yes; can be contagious up to several weeks depending on culprit.|
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Author : Diba Tillery RN, BSN, IBCLC, CPST