scholarly journals Caracterización de la enfermedad mano-pie-boca en menores de 5 años, Hospital IESS Portoviejo

Author(s):  
José Alberto García ◽  
Cindy Stefania Franco Cedeño

Una erupción cutánea puede tener múltiples causas, que incluyen inflamación, reacciones a medicamentos e infecciones. Las erupciones infecciosas pueden ser causadas por bacterias, parásitos y virus. Por su parte, las enfermedades exantematosas más comunes en la infancia son causadas por virus. La enfermedad mano-pie-boca es una enfermedad exantemática que se presenta principalmente en niños menores de 5 años, causada principalmente por el virus Coxsackie. Es una enfermedad completamente benigna, cuyo período de incubación oscila entre los 3 a 7 días, no deja secuelas, huellas ni cicatrices cuando desaparece. Se realizó un estudio retrospectivo y descriptivo para determinar las características de la fiebre aftosa en niños menores de 5 años durante el período junio a diciembre de 2019. La información se tomó de las historias clínicas de los pacientes. La muestra del estudio estuvo formada por 40 pacientes controlados de la consulta de urgencias pediátricas. Se determinó que la enfermedad se presenta con mayor frecuencia en pacientes varones entre 3 y 4 años de edad; además, la historia personal está estrechamente relacionada con la presentación y gravedad de los síntomas, así como la época del año.Palabras clave: Enfermedad mano-pie-boca; exantemas virales; Coxsackie; enfermedad exantemática. Abstract A skin rash can have multiple causes, including inflammation, drug reactions, and infections. Infectious rashes can be caused by bacteria, parasites, and viruses. For their part, the most common exanthematous diseases in childhood are caused by viruses. Hand-foot-and-mouth disease is an exanthematic disease that occurs mainly in children under 5 years of age, caused mainly by the Coxsackie virus. It is a completely benign disease, whose incubation period ranges from 3 to 7 days, it does not leave sequelae, traces or scars when it disappears. A retrospective and descriptive study was carried out to determine the characteristics of foot-and-mouth disease in children under 5 years of age during the period June to December 2019. The information was taken from the medical records of the patients. The study sample consisted of 40 controlled patients from the pediatric emergency department. It was determined that the disease occurs more frequently in male patients between 3 and 4 years of age; Furthermore, personal history is closely related to the presentation and severity of symptoms, as well as the time of year.Keywords: Hand-foot-mouth disease; viral exanthemas; Coxsackie; exanthematous disease.

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Vu Thai Son ◽  
Nguyen Thi Huong

Knowledge and practice of mothers and caregivers are decisive factors in the prevention of Hand,Foot and Mouth disease for children under 5 years old. A cross-sectional descriptive study was usedto assess the current status of knowledge and practice on prevention of Hand, Foot and Mouth diseaseamong mothers/carers of children under 5 years old in Tu Nang commune, Yen Chau district, SonLa province. Out of a total of 944 study subjects, 73% had correct knowledge about subjects at riskof disease, 84% knew about the danger of the disease and 81.4% knew about measures to preventthe spread. However, only 30.7% subjects had correct knowledge about taking care of children withHand, Foot and Mouth disease. The rate of using antiseptic solution for cleaning utensils of childrenis low, accounting for only 13.1%. Correct practice of handling measures when children are sickand preventing infection ranges from 30.9 to 59.4%. And most of the study subjects practiced goodenvironmental hygiene (92.8%).


1983 ◽  
Vol 27 (11) ◽  
pp. 929-935 ◽  
Author(s):  
Asao Itagaki ◽  
Junko Ishihara ◽  
Kyo Mochida ◽  
Yoshihiro Ito ◽  
Koichi Saito ◽  
...  

2019 ◽  
Vol 14 (2) ◽  
pp. 84-88
Author(s):  
Suha N. Al-Wakeel ◽  
Khansa A. Al Rubiae ◽  
Suha N. Al-Wakeel ◽  
Basil M. Hanoudi

Background: Hand, foot, and mouth disease is viral disease caused commonly by coxsackie virus A16 virus. It is a mild disease and children usually recover with no specific treatment within 7 to 10 days. Rarely, this illness may be associated with aseptic meningitis were patient may need hospitalization. Objective: To determine significance of clinical features of hand, foot and mouth disease. Methods: A cross sectional study of cases with clinical features of hand, foot and mouth disease visiting the dermatological consultation unit of Al Kindy teaching hospital. Sampling was for Zyona and Edressi Quarter patients over the period of 1st December 2017 to 30th of November 2017. Aim: To determine significance of clinical features of hand, foot and mouth disease Results: The mean age of patients (100 patients) was 29.99 months. Males were 65 (65%) and females were 35 (35%), (P 0.23). Tenderness of skin lesions, Malaise and decreased Appetite were the most frequent symptoms. Winter months illness was common .Cases were diagnosed two days before seeking medical help, while home contact of patients was most common place for infection transmission .Involvement of palms and soles was universal and indifferent (100%). Groin was more commonly affected (67%), (P 0.015). Fever was present in 81%.


2017 ◽  
Vol 40 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Probir Kumar Sarkar ◽  
Nital Kumar Sarker ◽  
Md Abu Tayab

Hand, foot, and mouth disease (HFMD) also known as vesicular stomatitis with exanthema, first reported in New Zealand in 1957 is caused by Coxsackie virus A16 (CVA16), human enterovirus 71 (HEV71) and occasionally by other HEV-A serotypes, such as Coxsackie virus A6 and Coxsackie virus A10, are also associated with HFMD and herpangina. While all these viruses can cause mild disease in children, EV71 has been associated with neurological disease and mortality in large outbreaks in the Asia Pacific region over the last decade. It is highly contagious and is spread through direct contact with the mucus, saliva, or feces of an infected person. This is characterized by erythrematous papulo vesicular eruptions over hand, feet, perioral area, knee, buttocks and also intra-orally mostly in children, typically occurs in small epidemics usually during the summer and autumn months. HFMD symptoms are usually mild and resolve on their own in 7 to 10 days. Treatment is symptomatic but good hygiene during and after infection is very important in preventing the spread of the disease. Though only small scale outbreaks have been reported from United States, Europe, Australia Japan and Brazil for the first few decade, since 1997 the disease has conspicuously changed its behavior as noted in different Southeast Asian countries. There was sharp rise in incidence, severity, complications and even fatal outcomes that were almost unseen before that period. There are reports of disease activity in different corners of India since 2004, and the largest outbreak of HFMD occurred in eastern part of India in and around Kolkata in 2007and Bhubaneswar, Odisha in 2009. In recent years there are cases of HFMD have been seen in Bangladesh also. Although of milder degree, continuous progress to affect larger parts of the neighboring may indicate vulnerability of Bangladesh from possible future outbreaks.Bangladesh J Child Health 2016; VOL 40 (2) :115-119


2015 ◽  
Vol 82 (4) ◽  
pp. 235-241
Author(s):  
E. Navarro Moreno ◽  
D. Almagro López ◽  
R. Jaldo Jiménez ◽  
M.C. del Moral Campaña ◽  
G. Árbol Fernández ◽  
...  

2019 ◽  
Author(s):  
Jie Wang ◽  
Jun Zhou ◽  
Guoliang Xie ◽  
Shufa Zheng ◽  
Bin Lou ◽  
...  

Abstract Background Hand, foot and mouth disease (HFMD) is most frequently caused by several serotypes of human enterovirus (EV) including Enterovirus 71 (EV71), Coxsackievirus A16 (CV-A16) or other types of EV. Children under 5 years old are the most susceptible to HFMD. The aim of this study was to determine the epidemiological characteristics and the relationship between severe and mild HFMD. Methods We collected 4760 probable HFMD cases with skin papular or vesicular rashes on the hands, feet, mouth or buttocks in Hangzhou from 2016 to 2018. Specimens of these cases were collected and the pathogen of EV71, CV-A16, CV-A6, CV-A10, CV-A2 and CV-A5 was classified by RT-PCR. Then the pathogen distribution and clinical status of children with HFMD were described. Results From Jan. 1, 2016 to Dec. 31, 2018, the incidence and prevalence of HFMD were seasonal each year. Among the 4760 probable HFMD cases, 3559 cases were confirmed (74.8%, 3559/4760), including 426 cases of EV71 infections (8.9%, 426/4760, 249 cases of CV-A16 infections (5.2%, 249/4760) and 2884 cases of other enteroviruses infections (60.6%, 2884/4760). The percentage of EV positive HFMD cases with non-EV71 and non-CV-A16 was more than 80% (2884/3559), which increased year by year. The percentage of EV71 decreased year by year in the last three years especially in 2018. Among the 1297 cases randomly selected of other EV infections in 2017 and 2018, there were 835 (64.4%) cases of CV-A6 infections, 177 (13.6%) cases of CV-A10 infections, 100 (7.7%) cases of CV-A2 infections, 40 (3.1%) cases of CV-A5 infections, 3 (0.02%) cases of mixed infections and 11.0% untyped enteroviruses infections. Preschool children were still the primary population susceptible to HFMD, and the age of the children infected with other enteroviruses tended to be younger. In severe cases, EV71 infection was the main cause. Conclusions The other EV especially CV-A6 increased obviously and EV71 decreased obviously in the three years. Characterizing the epidemiology and the relationship between severe and common cases of HFMD would provide relevant evidences for the prevention and treatment of HFMD.


2014 ◽  
Vol 41 (3) ◽  
pp. 273-274 ◽  
Author(s):  
Hisashi Nomura ◽  
Shohei Egami ◽  
Hiroko Kasai ◽  
Tomoaki Yokoyama ◽  
Atsushi Fujimoto ◽  
...  

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