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What organism most commonly causes hand, foot and mouth disease?
You advise the parents that this is a self-limiting viral illness and give them safety-netting advice before discharging them home. The boy’s mother asks if there are any special precautions that she should take to minimise transmission.
What advice should you give her?
After three days, the child returns and is more unwell than before. He is lethargic, not eating and drinking at all, and has not passed urine in 24 hours. You decide to admit him.
What is the most common complication of hand, foot and mouth disease?

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