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Welcome, USIMD.com medical contents search September 23, 2014
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Herpangina

more about Herpangina


  • This is a viral illness which has oral findings only.
  • It is most commonly seen in infants and young children who are in preschool and daycare centers.
  • While it is possible to have these infections more than once, it is relatively rare, and most adult caregivers are not at risk of contracting the disease from affected children.

  • Symptoms last between 3 and 6 days
  • Ulcers on the lips, gums, tongue, inside of the cheeks, and the back of the throat
  • Small blisters surrounded by redness and pus on the roof of the mouth, inside of the cheeks, and the back of the throat
  • Fevers, often above 101 degrees
  • Extreme irritability
  • Poor appetite (because of the pain involved with the oral lesions) -- which can result in dehydration

  • It is caused by Coxsackievirus A.
  • This virus is transmitted in saliva.

  • Diagnosis is clinical; no laboratory studies are necessary

  • There is no therapy to cure the infection or hasten its resolution.
  • Hydration
  • Over-the-counter (OTC) oral antiseptic/analgesic combinations, such as Oragel for relieving pain
    1. The duration of action is short
    2. Side effects from the topical anesthetics used are possible.
    3. They should not be used more often than recommended on the packaging.
  • OTC throat sprays to reach lesions in the back of the mouth for older children who can cooperate.
  • In severe cases, prescription topical medications prepared by a pharmacist, or oral medications containing codeine may be useful

  • Prevent exposure to Coxsackievirus infections; this is often difficult, because infected children are usually contagious before any symptoms are recognized.




more about Herpangina


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