Highly infectious viral disease caused most commonly by coxsackievirus and other enterovirus species (1)
Fever of short duration (<5 days)
Characterized by painful...
Fever of relatively sudden onset
General malaise, anorexia, irritability, listlessness
Sore throat, drooling, coryza
Neck pain, headache, back pain
Palliative and supportive care; emphasize hydration.
As tolerated, with no limitations
Cold beverages, milk, and ice cream are soothing. Hot, acidic beverag...
Herpangina occurs most commonly during summer months in children.
Coxsackievirus and other enterovirus are the most common causes of herpangina.
Proper hand hygiene protects against spre...
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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...
<bold>Figure 20-2</bold> Herpangina. (Courtesy of Paul S. Matz, MD.)
<bold>Figure 26-3</bold> Herpangina. (Courtesy of Philip Siu, MD.)
Hand-foot-mouth disease in a young child with fever and irritability