Herpangina

Zahorsky 1924.

Pharyngitis vesicularis.

Most throat infections occur in summer and autumn, especially in young children and adolescents.

• Incubation period: 2-9 days
• Herpangina is caused by type A coxsackie viruses (2, 3, 4, 5, 6, 8, 10)

High, often biphasic fever (up to 40°C), convulsions, nausea and vomiting, diarrhoea and myalgias. In the course of the disease, vesicles appear in the pharyngeal region and the palatum molle. After about 4 days, the vesicles erupt with the formation of ulcers and subsequent healing within 14 days

• Clinic
• Virus isolation is possible (CSF, blood, stool, throat lavage water)

• Symptomatic
• Camilla extract
  • Administration: 3 times daily or more
  • >6 years: In 1 glass of warm water ½ coffee spoon
  • 1-6 yrs: 1, 5 ml in 1 L water 1x tgl
  • KI: Hypersensitivity to ingredients
• Chlorhexidine mouth rinse 0.2%
  • Application: Use after brushing the teeth
  • 6-12 yrs: after dental consultation
  • >12 yrs: rinse mouth for 1 minute 2x daily

1. Chang LY, King CC, Hsu KH, et al. Risk Factors of Enterovirus 71 Infection and Associated Hand, Foot, and Mouth Disease/Herpangina in Children During an Epidemic in Taiwan. PEDIATRICS 2002;109:e88-e.
2. Nakayama T, Urano T, Osano M, et al. Outbreak of herpangina associated with coxsackievirus B3 infection. The Pediatric Infectious Disease Journal 1989;8:495-8.