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Herpangina

Pediatrics

Overview

Herpangina is a painful oral infection caused by coxsackievirus. It is usually caused by a specific strain of coxsackievirus A, but may also be caused by coxsackievirus B or echovirus. Most cases occur in summer and mainly affect children, though it can occasionally occur in adolescents and adults.

Symptoms

  • Fever
  • Sore throat
  • Blisters in the throat
  • Drooling
  • Refusal to eat

Treatment

Treatment is mainly symptomatic and supportive, focusing on fever reduction, hydration, and oral care; most cases resolve on their own.

Dietary advice

Eat cool, bland liquid or semi-liquid foods, and avoid foods that are too hot, sour, or spicy.

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