Last Updated: 2019-08-27
Particularly throat infections occurring 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), cramps, nausea and vomiting, diarrhea and myalgia. In the course of the disease, blisters appear in the area of the throat and the palatum molle. After about 4 days, the vesicles erupt with formation of ulcers and subsequent healing within 14 days.
- Virus isolation is possible (CSF, blood, stool, throat wash water).
Camomile extract (Kamillosan® liq)
- Applic.: 3 times daily or more often
- 6 years: In 1 glass of warm water ½ Coffee spoon
1-6 years: 1.5 ml in 1 l water 1x daily
CI: Hypersensitivity to ingredients.
- Chlorhexidine (Chlorhexamed®) Mouth rinse 0.2%.
Application: Apply after brushing teeth
6-12 years: after consultation with a dentist
- 12 yrs: 2x daily mouth rinse for 1 minute
- 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.
- 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.