Herpangina is a viral illness in which ulcers and sores (lesions) form inside the mouth, and there is a sore throat and fever.
See also: Hand, foot, and mouth disease
Causes, incidence, and risk factorsHerpangina is typically caused by Coxsackie group A viruses.
The number of cases of herpangina is unknown, but it is a common childhood infection. It is most often seen in children ages 3 - 10, but it can occur in any age group. Cases of herpangina at school or in the neighborhood increase the chances that your child will develop the illness.
SymptomsThe ulcers usually have a white to whitish-gray base and a red border. They may be very painful. Generally, there are only a few sores.
Signs and testsTests are not normally necessary. Diagnosis can usually be made from the history and physical examination.
TreatmentThe symptoms are treated as necessary:
The illness normally clears up within a week.
ComplicationsDehydration is the most common complication, but it can be treated by your doctor.
Calling your health care providerCall your health care provider if:
Coxsackie virus is transmitted by contamination with feces, which means you can catch the virus by touching your mouth or eating without thoroughly washing your hands. Good handwashing practices can help prevent transmitting most viruses.
Being aware of other cases of herpangina in your neighborhood or school may allow earlier diagnosis.
ReferencesAbzug MJ. Nonpolio enteroviruses. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 247.
.the coxsackie virus. It can cause a disease called herpangina. Although anyone can get herpangina, it is most common in children up to age ten and is more prevalent in the summer or early autumn. Herpangina is sometimes called summer sore throat.
Herpangina is a viral illness that involves ulcers and sores (lesions) inside the mouth, a sore throat, and fever.
See also: Hand, foot, and mouth disease
Causes, incidence, and risk factorsHerpangina is a common childhood infection. It is most often seen in children ages 3 - 10, but it can occur in any age group.
It is typically caused by Coxsackie group A viruses. These viruses are contagious. Your child is at risk for herpangina if someone at school or home has the illness.
SymptomsThe ulcers usually have a white to whitish-gray base and a red border. They may be very painful. Generally, there are only a few sores.
Signs and testsTests are not normally necessary.Your doctor can usually diagnose this condition by performing a physical exam and asking questions about the child's symptoms and medical history.
TreatmentThe symptoms are treated as necessary:
The illness normally clears up within a week.
ComplicationsDehydration is the most common complication, but it can be treated by your doctor.
Calling your health care providerCall your health care provider if:
Good handwashing practices can help prevent the spread of the viruses that lead to this infection.
ReferencesAbzug MJ. Nonpolio enteroviruses. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics.19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 242.
Reviewed ByReview Date: 08/02/2011
Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
.the coxsackie virus. It can cause a disease called herpangina.
Herpangina is most often caused by one of the Coxsackie A viruses
Herpangina is a viral infection that effects the mouth. It can present with ulcers or sores inside the mouth, a sore throat, and a fever.
coxsakieA(4.10.16.22) virus
Herpangina is typically caused by the Coxsackievirus, which is a type of enterovirus. It commonly affects children, especially those between the ages of 3 and 10 years old. However, it can also occur in adolescents and adults.
This is normally referred to as Mouth Ulcers. The causes can range from simple ginigivitis to mouth cancer (don't get scared, that's a slim chance). Other causes could be a case of the measles or chickenpox, Vitamin D deficiency, syphilis...really a number of things. In children, there is a possibility it is Herpangina. This is not a form nor strain of herpes and is usually set on by a cold, a severe fever, or chickenpox/measles.
Treatment Like the common cold, treating herpangina means treating the symptoms and easing the patient's discomfort. For children, this means ensuring they get the proper amounts of fluids and food, because herpangina can cause painful swallowing and a loss of appetite. Offer a bland, soft diet devoid of salt, spices and citrus to lessen the pain of eating. Apple juice and warm chicken broth are appropriate for young children, and older children can suck on hard candy or gargle with salt water to reduce discomfort. Cold drinks and milkshakes also can ease the pain. Medication Pain relievers containing acetaminophen are effective in treating fever, headache and body aches associated with herpangina. Over-the-counter medications are also recommended to battle secondary symptoms such as runny nose, vomiting or diarrhea. Topical medications containing benzocaine or xylocaine, such as Anbesol or Orajel, can be applied to the sores. A physician need not be consulted unless the mouth sores, sore throat or fever do not subside after five days. Herpangina rarely lasts longer than a week or results in any serious symptoms or permanent damage. There have been a very small number of cases in which cardiopulminary failure has occurred, and these mostly involve children less than one year old. Common hygienic techniques such as hand-washing will help you avoid contracting herpangina.
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