Koksaki virus or hand-foot-mouth syndrome: not as scary as it sounds
Extremely summer, and not in the mountains and autumn. It is precisely this transitional period that is very favorable for the propagation of all kinds of viruses. If you notice from your kid strange rashes on the pens, legs and face – it can be anything. But to worry about prematurely is not worth it. One of the probable causes is the Koksaki virus. Doctors assure that it will be on its own.
What it is?
The Coxsackie virus is a disease that affects the oral cavity, hands and feet. Because of this, the disease has a different name: hand-foot-mouth syndrome. Pregnant children are usually children under 5 years of age, but there are cases of infection and adults. Coxsackie syndrome is a viral infection that usually disappears without any special medical intervention.
The syndrome was first detected in New Zealand in 1957. In fact, the disease is provoked by several viruses – enteroviruses Coxacchi A16, A5, A10, A9, B1, B3, and also enterovirus 71. These are RNA-containing, relatively resistant to the external environment of the virus, capable of living at room temperature for up to 2 weeks.
Most often they are ill with syndrome in the summer and autumn, especially when changing one time of the next. The incubation period of the disease lasts about 4-7 days from the time of infection.
Ways of infection
You can grab the virus in two ways:
air-drip, when the infected coughs, sneezes, or just talking to you;
fecal-oral, that is through toys, utensils, hygiene items, contaminated water or food, or where contact with human excrements is possible.
What are the symptoms?
There are signs of intoxication – weakness, headache, pins and needles, muscle aches and the like.
The temperature rises to 37.8-39.4 ° C and lasts for 3-5 days.
Within 1-2 days, transparent watery bubbles of small size (up to 3 mm in diameter) appear on the palms and feet, sometimes between the fingers and toes, and also in the buttocks (in 25% of children), with characteristic ring-shaped redness. Such a rash is kept on the skin for 5-7 days, and then disappears.
In the oral cavity, along with the affection of the skin of the hands and feet, small bubbles also appear. They mostly affect the inner surface of the cheeks, although rash can cover and gums, lips, tongue and palate. In 2 days, the vesicles crack and in their place appear shallow ulcers.
After appearance of ulcers appetite decreases, the patient becomes capricious, irritated, especially if it is a child, there is a sore throat, difficulties arise when eating, as the oral mucosa is inflamed, the salivation is increased.
In some sources, you can find mention of another symptom of the disease: in a month or two after a patient’s syndrome, lesions (peeling) of nails can be observed in patients. However, such a relationship has not yet been scientifically proven.
A characteristic feature of the syndrome is the absence of symptoms of other infectious diseases, such as angina, pulmonary syndrome, lymphatic system damage, etc.
Most of these clinical signs and diagnose Koksaki syndrome. If the disease proceeds without complications, the symptoms disappear in a week, in the worst case – within 9-10 days. In case of complications, carry out additional laboratory tests.
Laboratory diagnostic methods
general blood test with characteristic criteria of viral infection (possible leukocytosis, increase in the number of lymphocytes, decrease in the number of neutrophils, ESR usually within the norm);
specific laboratory studies that confirm the enterovirus nature of the syndrome (the isolation of enteroviruses in the washings and swabs from the ointment, the detection of specific antibodies to the serum of patients).
After the transfer of infection, patients develop immunity to a particular virus that provoked the disease. That is, if a person became sick with the serotype of enterovirus A16 and then faced with A9, then there is a risk of getting Kusaki’s syndrome repeatedly.
Preferably, the disease does not require hospitalization and is treated at home.
From the diet it is necessary to exclude too salty, hot and hot food.
It is better if the food is of a semi-rigid consistency, so as not to injure a mechanically and already irritated oral cavity.
You need to drink a lot to get toxins from the body faster, and the fever has subsided.
inductors of interferon (anaferon, aflubin);
antipyretic (nurofen, panadol); Do not recommend taking aspirin to exclude the risk of developing Ray’s syndrome;
antihistamines (Claritin, Tetrine, Phenistyl).
rinse the throat with a warm solution of soda and sage, chlorhexidine solution, furatsilina;
for the treatment of skin with a rash – panthenol aerosol;
to prevent the emergence of secondary bacterial infection – the immodon for resorption.
To minimize the risk of infection with a virus, you need:
Avoid contact (especially the child) with those who have symptoms of the CoxaCe virus;
if you still have to take care of the sick – wear gloves and a protective mask, treating the rash;
Do not forget to wash your hands before eating and coming out of the street;
regularly brush your teeth and keep track of oral hygiene in general.