From WikiLectures

Template:Infobox - disease

Ulcerative herpangina

Herpangina is an infectious enanthemous disease caused by the Coxsackie viruses A (types 1–10, 16, 22) or B (types 1–5)[1]. It typically occurs in the summer months and mainly affects older children and adolescents [1].

Epidemiology[edit | edit source]

The route of transmission is fecal-oral (unwashed hands contaminated with feces) or respiratory tract secretions.

Incubation period is 1-10 days. Permanent immunity to a specific type of virus develops after the disease, but since there are over 20 types of coxsackieviruses, recurrence of infection with another type of virus is possible.

Clinical picture[edit | edit source]

After the incubation period, there is a sudden febrile (up to 40 °C), non-specific symptoms such as fatigue, loss of appetite and headaches. This is accompanied by a sore throat and difficulty swallowing. Grey-white vesicles appear on the soft palate, uvula and tonsils, which turn into small ulcers with a red border. There is diffuse erythema on the back wall of the pharynx. The lymph nodes may or may not be enlarged. The lesions heal without complications within 4-6 days.

Differential diagnosis[edit | edit source]

Therapy[edit | edit source]

Treatment is symptomatic (mouth rinses, analgesics).

Links[edit | edit source]

References[edit | edit source]

  • ŠTORK, Jiří, et al. Dermatovenerology. 1. edition. Praha : Galén, 2008. 502 pp. pp. 128–129. ISBN 978-80-7262-371-6.

References[edit | edit source]

  1. a b c BENEŠ, Jiří, et al. infectious medicine. 1. edition. Galén, 2009. 651 pp. pp. 403. ISBN 978-80-7262-644-1.