Common clinical syndrome caused by enterovirus serotypes
Classic appearance of oral enanthem along with exanthem of hands and feet (classically) and potentially located elsewhere
1- to 2-day prodrome of fever, anorexia, malaise, abdominal pain, upper respiratory symptoms
Fever may last 3 to 4 days.
Maculopapular rash on hands, feet, and mouth. Oral lesions may p...
Avoid spicy or acidic foods to limit oral pain.
IV fluids may be required in more severe cases of dehydration.
Symptomatic care using ibuprofen or acetaminophen for pain f...
Encourage cold liquids (e.g., ice cream, popsicles) to prevent dehydration.
Avoid acidic, salty, and spicy foods, as they will increase pain.
Dehydration most common due to...
B08.4 Enteroviral vesicular stomatitis with exanthem
B34.1 Enterovirus infection, unspecified
B08.5 Enteroviral vesicular pharyngitis
074.3 Hand, foot, and mouth disease
079.2 Coxsackie vir...
Most common: May to October
Children <5 years of age tend to have worse symptoms than older children.
HFMD is the most common cause of mouth sores in pediatric patients.
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FIG. 11.8. Coxsackie hand-foot-and-mouth disease. A: A hand and a foot of this child show isolated vesicles compared with the grouped vesicles seen in the patient in Figure 11.7 with a herpetic infection. The child also had palatal lesions. B: Scattered petechiae appear centrally, and there is a vesicle posteriorly at the junction of the hard and soft palates. Coxsackievirus produces lesions toward the posterior of the oropharynx, whereas herpes simplex virus appears anteriorly.
FIG. 11.8. Coxsackie hand-foot-and-mouth disease. A: A hand and a foot of this child show isolated vesicles compared with the grouped vesi...
Hand-foot-mouth disease in a young child with fever and irritability