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Herpangina is most often caused by one of the Coxsackie A viruses
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Who typically develops herpangina?
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.
What is the etiology of herpangina?
coxsakieA(4.10.16.22) virus
What causes herpengina?
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.
Could a 6 year old child's daily stomach ache and mouth blister be related to H1N1 vaccine?
That would be unlikely to have any relationship with the vaccine. But a daily stomach ache in a 6 year old should be evaluated by their pediatrician. Mouth blisters are a common condition in children that age caused by a different virus and they are called Herpangina. They are typically caused by Coxsackie group A viruses, not influenza viruses or vaccines.
Is there any treatment for herpangina in 7 month old child other than IV feeding if you cannot get them to eat?
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.
What causes herpangina?
DefinitionHerpangina 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 diseaseCauses, 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.SymptomsFeverHeadacheLoss of appetiteSore throat, or painful swallowingUlcers in the mouth and throat, and similar sores on the feet, hands, and buttocksThe 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:Take acetaminophen (Tylenol) or ibuprofen (Motrin) by mouth for fever and discomfort as the doctor recommends.Increase fluid intake, especially cold milk products. Gargle with cool water or try eating popsicles. Avoid hot beverages and citrus fruits.Eat a non-irritating diet. (Cold milk products, including ice cream, are often the best choices during herpangina infection. Fruit juices are too acidic and tend to irritate the mouth sores.) Avoid spicy, fried, or hot foods.Use topical anesthetics for the mouth (these may contain benzocaine or xylocaine and are usually not required).Expectations (prognosis)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:Fever, sore throat, or mouth sores last for more than 5 daysYour child is having trouble drinking liquids or looks dehydratedFever becomes very high or does not go awayPreventionCoxsackie 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.
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