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herpangina
Etiology:
- Coxsackie A virus
- Coxsackie B virus
- less commonly echovirus, adenovirus, herpes simplex
- enterovirus 71 (may cause severe illness)
Epidemiology:
- most common summer & fall
- infants & children (3-10 years of age)
- less common in adolescents, young adults
Clinical manifestations:
- acute febrile illness
- small vesicular or ulcerative lesions on the posterior oropharynx
- pharyngitis
- odynophagia
- older children may complain of headache & backache
- enteroviral infection may present with:
a) rash
b) GI symptoms mimicking appendicitis
Complications:
- CNS lesions
- cardiopulmonary failure
- fatalities rare, primarily infants
Management:
- no effective antiviral therapy
- treatment is supportive
a) hydration
b) analgesics, antipyretics
- prognosis: typically a mild & self-limited illness
General
viral infection
stomatitis (includes oral ulceration)
References
- Saunders Manual of Medical Practice, Rakel (ed), WB Saunders,
Philadelphia, 1996, pg 317-18
- Gompf SG and Casanas BC
Herpangina
eMedicine
http://emedicine.medscape.com/article/218502-overview