Enteroviral infections
Revisión del 01:19 19 sep 2014 de Rossdonaldson1 (discusión | contribs.)
Background
- Rubella-like appearance of rash w/ discrete maculopapular nonpruritic rash
- No specific therapy; self-limited
Types
- Enterovirus
- Coxsackie
- Echovirus
- Rhinovirus
- Poliovirus
Differential Diagnosis
Pediatric Rash
- Atopic dermatitis
- Bed bugs
- Contact dermatitis
- Drug rash
- Erythema infectiosum (Fifth disease)
- Hand-foot-and-mouth disease
- Henoch-schonlein purpura (HSP)
- Herpangina
- Herpes simplex virus (HSV)
- Infectious mononucleosis
- Meningitis
- Measles
- Molluscum contagiosum
- Roseola infantum
- Rubella (German measles)
- Scabies
- Scarlet fever
- Smallpox
- Varicella (Chickenpox)
Clinical Presentation
Hand-Foot-and-Mouth Disease
Herpangina
- Caused by coxsackievirus
- Prodrome
- Sudden onset of high fever, sore throat, malaise
- Rash appears 24-48hr after prodrome
- Vesicles 1-2 mm in size that rupture leaving shallow, painful whitish ulcers on soft palate/posterior pharynx
- Similar to hand, foot, mouth disease but w/o skin lesions
- Lasts 7-10d