Enteroviral exanthems
From WikiLectures
These are non-specific diseases caused by different serotypes of enteroviruses:
- Coxsackie A and B
- ECHO viruses
- Polioviruses [1]
General information[edit | edit source]
- mode of transmission: fecal-oral route (sometimes also via air)
- incidence: mainly in summer and autumn[1]
- affects young children more often
- incubation period: 3–7 days
Clinical picture[edit | edit source]
- manifestations are highly variable:
- meningoencephalitis - aseptic meningitis + rash (may resemble meningococcal sepsis)[1]
- pleurodynia
- myocarditis
- hand-foot-mouth disease - painful blisters on the hands, feet, mouth and tongue
- herpangina - blisters and sores on the soft palate and uvula[1]
- poliomyelitis (polio) - eradicated due to effective vaccination[1]
- fever, sometimes with catarrh, vomiting or diarrhea
- soon after, there is a rash similar to measles or rubella - usually it is not itchy
- fever lasts for about 3 days, the rash disappears within 3-7 days
Differential diagnosis[edit | edit source]
- we must distinguish it from:
- measles
- allergic rash
- Petechiae in meningococcemia (presence of meningococci in the blood)
References[edit | edit source]
Citations[edit | edit source]
- ↑ Jump up to: a b c d e TASKER, Robert C., Robert J. MCCLURE and Carlo L. ACERINI. Oxford Handbook by Pediatrics. 1st edition. New York: Oxford University Press, 2008. pp. 688. ISBN 978-0-19-856573-4 .
