What should be done for hand-foot-and-mouth disease in adults?

Jan 25, 2022 Source: Cainiu Health
Dr. Wang Jihong
Introduction
Hand-foot-and-mouth disease (HFMD) is caused by enterovirus infection and typically presents within a short period with high fever, pharyngeal erythema and swelling, anorexia, lethargy, fatigue, oral ulcers, and red maculopapular rashes on the hands and feet. Treatment primarily involves antiviral therapy and symptomatic management. Oseltamivir may be used; if pruritus develops, acyclovir ointment or Bactroban (mupirocin) ointment may be applied topically.

Hand, foot, and mouth disease (HFMD) is an infectious illness caused by enteroviruses, commonly affecting children under six years of age; adult cases are rare. Even when adults contract HFMD, symptoms are typically mild. Maintain good oral hygiene and drink plenty of plain water. However, strict isolation is essential to prevent transmission—especially to children with compromised immunity. If no significant discomfort is present, observation alone may suffice. So, what should adults do if they develop hand, foot, and mouth disease? Below, we address this question.

What Should Adults Do If They Develop Hand, Foot, and Mouth Disease?

HFMD is generally self-limiting and rarely leads to serious complications; most cases resolve spontaneously within approximately one week.

HFMD results from enteroviral infection and typically presents acutely with high fever, pharyngeal erythema and swelling, loss of appetite, fatigue, lethargy, oral ulcers, and red maculopapular rashes on the hands and feet. Treatment focuses primarily on antiviral therapy and symptomatic management. Oseltamivir may be used; for pruritus or skin lesions, topical acyclovir ointment or mupirocin ointment (e.g., Bactroban®) can be applied—both possess antimicrobial and disinfectant properties effective against herpetic lesions.

Patients with HFMD should pay close attention to diet and ensure adequate vitamin intake. Consume fresh fruits and vegetables such as celery, spinach, Chinese cabbage, apples, kiwifruit, and pineapple to boost intake of vitamins C and B₂, thereby promoting wound healing. Include moderate amounts of high-quality protein sources—including eggs, lean meat, milk and dairy products, tofu, and soy milk—to strengthen immunity and support recovery. Avoid spicy, cold, raw, or hard foods (e.g., chili peppers, ginger, garlic, grilled foods). Refrain from strenuous physical activity and avoid staying up late or overexertion.

The above outlines key considerations for adults diagnosed with hand, foot, and mouth disease. We hope this information proves helpful.

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