Eng / Enterovirus
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Herpangina
is an acute infectious disease caused by the Coxsackie A or B virus, which is manifested by serous inflammation of the oral cavity and pharynx.
Herpangina
begins suddenly
with a rise in body temperature to febrile numbers° which persists for 2-3 days, and then critically decreases.
In a number of patients, on the background of fever, vomiting appears, sometimes cramping pains in the abdomen.
The most characteristic changes develop in the structures of the pharynx. On the 1st-2nd day of illness, small papules 1-2 mm in diameter appear on the hyperemic mucous membrane of the palatine arches, uvula, tonsils, soft and hard palate, tongue, which quickly turn into vesicles.
Herpangina
After 2-3 days, the bubbles burst, and erosions form on their bottom, covered with a grayish-white bloom; around them there is a narrow border of hyperemia.
The appearance of bubbles and erosions is accompanied by moderate pain when swallowing, but in some cases these pains are excruciating and accompanied by profuse salivation.
Regional lymph nodes are enlarged.
By the 4th-7th day of illness, in most patients, changes in the pharynx disappear.
Herpangina
Herpangina
The most characteristic localization of rashes for herpangina is the back wall of the pharynx, soft palate, tonsils.
In the case of a secondary bacterial infection, the appearance of the rash may change.
Herpangina
One of the diagnostic signs of the disease caused by the Coxsackie virus is two temperature peaks, on the first and third day.
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Herpangina
The most prone to the disease are children of preschool and primary school age,
while herpangina is much more severe in children of the first year of life.
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Herpangina
In the midst of clinical manifestations on the oropharyngeal mucosa, regional lymph nodes increase and become painful.
The duration of the disease is on average six days, after which complete recovery occurs.
A sick person can remain a carrier of the Coxsackie virus and be a source of infection.
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Herpangina in children
At the age of 3-6 years, herpangina can often be combined with serous meningitis, the appearance of meningeal symptoms (stiff neck, Kernig's symptom)
Relapses of meningitis are possible.
Serous meningitis can be fatal.
the prognosis is serious.
Complication of herpangina
myocarditis,
worsens the prognosis and requires dispensary observation throughout the entire period of illness and during convalescence.