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A 3-year-old patient is brought in with high fever, crying, salivation, and refusal to eat and drink for 4 days. The child has been previously healthy and attends daycare. The exam is remarkable for clusters of small vesicles on the tongue, gums, and lips. The posterior pharynx is spared, and there is no cervical lymphadenopathy. There are no other physical findings. What is the most likely diagnosis?
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