Herpangina

Aka: Herpangina

advertisement

II. Epidemiology

  1. Occurs in summer months (may be epidemic)
  2. Preschool children and their siblings

III. Pathophysiology

  1. Fecal-oral transmission

IV. Etiology

  1. Coxsackie Virus
  2. Echovirus

V. Symptoms

  1. Fever
  2. Dysphagia
  3. Drooling
  4. Vomiting
  5. Headache

VI. Signs

  1. Non-toxic appearance
  2. Multiple small 1-2 mm Vesicle or ulcers
    1. Soft Palate, posterior pharynx, Tonsillar Pillars and uvula
    2. Spares the anterior pharynx
    3. Contrast Hand Foot and Mouth Disease which spares the posterior pharynx
  3. No skin lesions
    1. Unlike Hand Foot and Mouth Disease

VII. Differential Diagnosis

  1. Hand Foot and Mouth Disease
    1. Vesicles in anterior pharynx, sparing posterior pharynx
  2. Aphthous Ulcer
  3. Primary Herpetic Gingivostomatitis
    1. External Vesicles are only seen with HSV (not with Herpangina or Hand Foot and Mouth Disease)

VIII. Course

  1. Illness of 1 week duration with rare complication

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Herpangina." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Topics in Throat Disease

advertisement