Herpangina is a febrile illness which is occasionally caused by many Coxsackieviruses of group A and by other enteroviruses. The infection leads to vesicular and ulcerative lesions of the oropharyngeal mucosa.
Herpangina tends to epidemic onset, most commonly in infants and young children.
Herpangina is a febrile illness which is occasionally caused by many Coxsackieviruses of group A and by other enteroviruses. The infection leads to vesicular and ulcerative lesions of the oropharyngeal mucosa. Herpangina tends to epidemic onset, most commonly in infants and young children. Symptoms Herpangina is characterized by a sudden onset of fever with sore throat, headache, anorexia and often neck pain. Infants can also vomit. Within 2 days after the onset of symptoms, up to 20 (average 4-5) develop grayish papules with 1-2 mm diameter, which form bubbles with erythematous courtyards. They are most often peritonsillär, but also in the soft palate, the tonsils, uvula or tongue before. During the next 24 hours, the lesions often ulcerate superficially, with> 5 mm in diameter and heal in 1-7 days again. Complications are uncommon. This leads to a lasting immunity to the infection-causing strain, however, there are repeated episodes possible that are caused by other Coxsackie Group A or other enteroviruses. Diagnosis Clinical Evaluation The diagnosis of Herpangina based on the symptoms and characteristic oral lesions. Confirmatory tests are not usually required but may be carried out isolating the virus from the lesions detection of the virus by reverse transcriptase-PCR show a rise in specific antibody titers Recurrent aphthous lesions can look similar. Rarely Bednar canker sores occur in the so-called pharyngeal. On, but which have no systemic symptoms usually. A herpetic stomatitis occurs sporadically and causes as Herpangina larger, persistent and numerous ulcerations throughout the oropharynx. Coxsackievirus A10 causes lymphonoduläre pharyngitis that is similar to the clinical picture, except that it comes in place of vesicles and ulcers to 2-3 mm whitish to yellowish papules. Therapy relieving symptoms Treatment of Herpangina is symptomatic. It includes thorough oral hygiene (with a soft toothbrush and salt water rinses), a soft diet, in which dispenses with acidic and salty foods and topical applications with a (stomatitis therapy).