Medical history (history of illness) represents an important component in the diagnosis of herpangina. Family history What is the general health of your family members? Social history Have you had contact with other sufferers recently? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? Headache? Sore throat? Throat pain? Difficulty swallowing? … Herpangina: Medical History
Respiratory System (J00-J99) Pleuro-pneumonia – inflammation of the lungs and pleura. Cardiovascular system (I00-I99) Myocardial ischemia – reduced supply to the myocardium; positron emission tomography (PET) showed the highest diagnostic accuracy in the diagnosis of myocardial ischemia in direct comparison with coronary CT angiography and single photon emission tomography (SPECT). Infectious and parasitic diseases (A00-B99). … Herpangina: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by herpangina: Blood, blood-forming organs – Immune system (D50-D90). Hemolytic anemia – forms of anemia (anemia) characterized by increased degradation or decay (hemolysis) of erythrocytes (red blood cells), which can no longer be compensated by increased production in the red bone … Herpangina: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes, mouth and pharynx (anterior palatal arch, hard and soft palate, uvula (uvula), pharyngeal wall andtonsils/palatine tonsils [whitish, gray vesicles (diameter: 1-2 mm) surrounded … Herpangina: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Pathogen detection from pharyngeal lavage water or stool. Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). … Herpangina: Test and Diagnosis
Therapeutic target Relief of symptoms Therapy recommendations Symptomatic therapy (analgesics (painkillers)/antipyretics (drugs that reduce fever). For more severe symptoms: local (“local”) therapy with lidocaine hydrochloride solution 1% with dexpanthenol. In severe disease, gamma globulin preparations can be used – preferably from convalescent serum (blood serum obtained from persons who have survived the infectious disease); post-exposure … Herpangina: Drug Therapy
Medical device diagnostics are not usually required.
To prevent herpangina, particular attention must be paid to reducing individual risk factors. Disease-related risk factors Infectious and parasitic diseases (A00-B99). Coxsackie A virus infection. Adequate hand hygiene is recommended for exposure prophylaxis.
The following symptoms and complaints may indicate herpangina: Main symptoms High fever (between 38 °C and 40 °C) [subsiding after one day – sometimes after 5 days]. General feeling of illness Reddened throat (anterior palatine arch, hard and soft palate, uvula (uvula), pharyngeal wall, and tonsils/palatine tonsils) with whitish, gray vesicles (diameter: 1-2 mm) surrounded … Herpangina: Symptoms, Complaints, Signs
Pathogenesis (development of disease) The disease is caused by coxsackie viruses. The RNA virus belongs to the genus of enteroviruses, to the family of picornaviruses. Serotypes A and B can be distinguished, which in turn can be divided into several subgroups. Herpangina is caused by group A coxsackie virus. Type A4 is the most common … Herpangina: Causes
General measures The following measures can help the healing process: Frequent mouth rinses with lukewarm water. Commercially available mild throat lozenges or lozenges (preferably sugar-free) may help to relieve Bed rest If necessary, children calf compresses to reduce fever Observance of the general hygiene measures! Nicotine restriction (refrain from tobacco use). Alcohol restriction (abstaining from … Herpangina: Therapy
