Last Updated: 2019-08-27

Author(s): Anzengruber F., Navarini A.

ICD11: -

Zahorsky 1924.

Pharyngitis vesicularis.

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.

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

  • Symptomatic


  • 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

  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.