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Herpangin 1
Herpangin 1
Related concepts:
Mouth blisters
Introduction:
A mouth filled with painful blistersThis common infection can make kids miserable
for the better part of a week.
What is it?
Herpangina is the name of a painful mouth infection, usually with a fever. Even
though the name sounds like herpes, almost all of the many viruses that cause it are
coxsackieviruses or other enterovirusesnot herpesvirus.
Almost all children with herpangina have a decreased appetite. Other symptoms
might include headache, backache, runny nose, drooling, vomiting, or diarrhea.
Children first become ill 4 to 6 days after being exposed.
How is it diagnosed?
Usually the diagnosis is made based on the history and physical exam. Because the
syndrome is so specific, the diagnosis can be quite clear. Herpangina should be
distinguished from other causes of mouth and throat infections, including strep
throat and adenovirus. Season of the year, exposures in the community, incubation
period, and specific symptoms can all be important clues. Lab tests are available for
the coxsackieviruses and other enteroviruses, but they are not usually necessary.
How is it treated?
Antibiotics do not help with herpangina. The important issues are getting children
plenty of fluids, relieving their pain, and treating their other symptoms as
appropriate.