Coxsackie virus in children. Photos symptoms than to treat, the incubation period

Coxsackie - a viral disease that is widespread in many countries of the world. Due to the fact that the virus manifests itself in different ways and the accompanying symptoms are similar to many diseases, it is very difficult to diagnose. Not everyone can make the analysis to clarify the virus, as it is an expensive procedure. He runs hard, often seen in children, but may become infected as adults.

What is Coxsackie

Coxsackie enterovirus considered inhabiting and multiplies in the intestine. It was opened in the mid-twentieth century America. Scientists Dalldorf Gilbert and Grace Sikls conducted studies of viruses caused by polio.

As a result, we found out that it has come to pass new and previously unknown microorganisms. They have been extracted from the feces of sick people. We are given the name of Coxsackie. The same name was a small town, where the virus is found.

Despite the high prevalence of the virus, it is still called the other diseases, such as:

• chicken pox;
• allergic dermatitis;
• polio;
• herpetic sore throat;
• myocarditis;
• fever;
• ARI.

Because of the diversity of Coxsackie it very difficult to detect. There are cases when the disease is virtually no symptoms. The patient may simply be in a fever about 3 days, and as a result - a severe infection with visceral.

Species and the disease

Coxsackie virus in children and adults has 2 varieties. There are patients who are ill with a virus of type A, the other - B. They are distinguished from each other because of differences in antigenic properties. Basically, the disease breaks out in the summer or autumn. Infection occurs by airborne droplets.

You can also become infected through everyday objects and products:

• utensils;
• poorly washed vegetables and fruits;
• unboiled water;
• dirty hands.

There were cases when the virus gets into the intestine while swimming in reservoirs.
This disease can take place in the form of outbreaks. The largest was recorded in East China in 2007. The disease is fraught with complications and can lead to death.

Many holidaymakers arriving after the rest home, bring Coxsackie home.

Viruses spread quickly, infecting more people. Coxsackie infected almost all the people around the world, mostly in childhood. Only 5% of the population can not get sick this flu views. Enterovirus infections occur in children nedostrigshim 5 years of age. Adults become ill if you do not hurt a child.

Infants under 3 months protected from diseases due to the fact that they are fed with breast milk containing the immunoglobulins. I get sick when infected by being in the womb, or the virus is transmitted from sick mother during childbirth.

If preschool is sick at least one child, then after time can become infected, about 90% of children. This virus is often called "hand-foot-mouth": it is in these places there are skin rashes.

Microorganisms weaken the immune system of children, which can lead to the spread of other infections. Coxsackie carries the danger of kids who do not have 2 years as well as pregnant women. It is considered a common group of microorganisms, but not the only one.

There are also other representatives of enteroviruses:

1. Echoviruses. Almost indistinguishable from Coxsackie viruses. They even common signs and symptoms, so they were combined into one group.
   These viruses are similar to polio microorganisms that cause paralysis of the nervous system and disability.
2. Rhinoviruses. Cause SARS lead to inflammatory processes are localized in the mucosa of the nose and sinuses.
3. enteroviruses, Which include hepatitis A virus

Coxsackie virus in children enters the body through the mouth, should be in the intestine through the lymphatic system into the bloodstream and spreads throughout the body. Then penetrates the cells of internal organs, causing inflammation.

These viruses belong to parasites: they are inside cells and parasites in healthy tissues:

• liver;
• leather;
• neurocytes;
• kidneys;
• transverse muscles.

The body starts to produce cells that kill viruses and infected cells.

forms of the disease

The disease comes in many forms. It all depends on where the infection is localized. The disease is characterized by various symptoms.

Flu-like shape

This is one of the most easily portable and curable forms of influenza. It is called "summer flu" more often. After disease complications are observed, however during - the temperature may rise to 40 ° C, held no more than 3 days. This is different from the common cold diseases. Symptoms are similar to flu, respond well to therapy.

intestinal form

In this form of the symptoms completely coincide with the presence of intestinal infection.

They are expressed in the form:

• diarrhea;
• pain in the intestines and stomach;
• elevated temperature.

In addition, the children observed:

• throat pain;
• runny nose;
• malaise.

Complete recovery can be achieved only through a fortnight.

herpangina

With this form of the disease the virus is localized in the mucosa of the throat. The disease begins gradually, the incubation period usually lasts for two weeks.

Such angina is defined by the following symptoms:

• elevated temperature to 39 ° C;
• pain in the throat;
• Swollen lymph nodes;
• mortgaged nose.

The main symptom is the appearance of bubbles filled with liquid at the throat mucosa. A few days later they burst, forming a wound with white bloom. It is necessary to put the correct diagnosis and start treatment in a timely manner. Recovery will come in a week.

hemorrhagic conjunctivitis

The disease manifests itself in the form of conjunctivitis once on day 2 of infection.

White of the eye is red, are beginning to be felt in the form of unpleasant symptoms:

• irritation of the eyes;
• eyelid edema;
• suppuration.

Initially, the symptoms are observed only in one eye, then move on to the second. The patient's condition is normal. When recovery is attained for 2 weeks proper therapy. Complications usually does not happen.

enterovirus rash

Coxsackie virus can be diagnosed as a skin rash - small bubbles that burst after a while, and in their place appear brown. The patient at the same time feel the itch, the skin starts to peel off.

A high fever. It lasts about 3 days. This form is perceived as chicken pox or measles. In the treatment on day 4 of the main symptoms persist, the patient recovers.

hydromeningitis

This form of the disease is considered one of the most difficult and dangerous. It is caused by ingestion of the various virus strains. During the illness occurs defeat meninges. Low patient reaches 40 ° C.

Besides diagnosed:

• muscle soreness;
• convulsions;
• fainting.

If you have these symptoms the child urgently hospitalized. The patient's condition stabilized after a week.

Viral heart failure

Coxsackie virus danger lies in the fact that he is able to disable the activity of the myocardium, as well as other vital organs. This form is very difficult to diagnose, especially during the initial examination of the child. It is extremely rare.

Determined mainly in newborn infants and in children older than 3 months. The virus enters the bloodstream and spreads to all organs. It is able to be in all the membranes of the myocardium, causing various diseases and heart failure.

The child experiences the following symptoms in the form of:

• high temperature;
• shortness of breath;
• pain in the chest area;
• tachycardia;
• edema;
• seizures;
• cardiac arrhythmias;
• low blood pressure.

The child is constantly awake, because fully loosened. Needed urgent hospitalization. Showing events resuscitation, otherwise it may be fatal.

Poliomielitopodobnaya form

This form of Coxsackie can be completely confused with polio infection. Children develop muscle paralysis. But they recovered unlike the underlying disease, the child becomes mobile again.

Other symptoms are:

• diarrhea;
• skin rash;
• fever.

The treatment lasts about 20 days.

viral myositis

One of the rarely occurring form. In this case, the virus is in the muscles. Sick child begins to feel their pain, his temperature rises to 39 ° C. The main pain is felt in the intercostal spaces. The peculiarity of the pain that they are cramping in nature, aggravated by coughing, the body turns and walking.

Hepatitis

Coxsackie virus localization in the body of the child with their symptoms resemble hepatitis.

The child observed:

• liver enlargement;
• a feeling of heaviness in his right side;
• regurgitation of bile;
• temperature rise;
• yellowing of the skin of the child.

Coxsackie virus in lesions of the body in children and adults takes place, the majority of common diseases.

Basic common symptoms

After infection with Coxsackie common symptoms may begin to manifest themselves from 2-10 days. However, during the incubation period, the child feels unwell.

He's starting to appear the first symptoms of the disease:

• lethargy;
• constant desire to sleep;
• decreased appetite;
• frequent moods and tearfulness.

Most often the disease is acute.

You experience the following symptoms:

• High temperature up to 39-40 ° C;
• bouts of chills;
• aches throughout the body;
• weakness;
• graininess back of the throat;
• redness of the eye;
• increase in peripheral lymph nodes;
• headache.

Most diseases arise as a complication of internal organ virus. Often the disease after infection of Coxsackie virus begins suddenly. The child thus strongly exhausting.

It lasts about 2-5 days, and even without the use of drugs takes place independently. Sometimes there is a wave-like character, when the disease comes to an end, then suddenly begins and again subsides itself.

Regimen coxsackie

After ingestion of viruses, they develop inside the cells. The immune system begins producing antibodies for the destruction of alien organisms. After about 3 days the patient's condition improves.

Until it becomes stable, the doctor basically assigned symptomatic treatment. Are drugs to reduce fever, wound treatment of rashes, vitamin diet, drinking plenty of fluids and rest.

Of the medicaments take:

1. Antipyretics. Children most commonly prescribed Nurofen and Paracetamol. At this dosage your doctor, these drugs are considered the most effective and safe.
2. Absorbent. Coxsackie virus leads to intoxication of the sick body of the child. To quickly bring them and be cleansed need enterosorbents reception. They are able to absorb germs, thus eliminating the infection quickly. These drugs include: Enterosgel, Polisorb, Laktofiltrum.
3. Immunomodulators. Are drugs that increase the body's natural defenses against viruses. Immunomodulators accelerate the recovery of the child, in which case the child's body will not be required to produce a large number of white blood cells to destroy viruses.
4. Antiseptics. The virus affects the mucous membrane of the throat, skin, however necessary to remove the inflammation, pain in the throat, rash on the oral mucosa. Appointed by the antiseptic gargle. Children are encouraged to use: decoction of chamomile, marigold decoction, baking soda solution.
5. Antihistamines. Particular forms of coxsackie virus manifested as atopic dermatitis, eczema enterovirus. In such cases, do without antihistamines. They cropped discomfort and eliminate the itching. These drugs include: Telfast, Claritin, Aerius. These tools are manufactured for oral administration and for topical use.
6. Antibacterial and healing. With the defeat of the virus of the skin, formation of ulcers, appointed ointment operate antibacterial and healing function. The best known are: levomikol, Solkoseril, Baneotsin, Argosulfan, Dpantenol, Povidone-Iodine.

antihistamines

Coxsackie virus in children can cause allergies, so the therapy they prescribe antihistamines.

Of commonly prescribed:

Title	Description
loratadine	This means refers to preparations of the second generation. It is much less common side effects occur. The downside of medications is that it is not prescribed to people with disorders of the cardiovascular system. Applied once daily, the effect lasts for 24 hours means.
tavegil	Antihistamines are the first generation. He their actions similar to diphenhydramine, although he has duration much longer. Means copes well with severe allergic reactions, but has a number of side effects. These include: nausea; drowsiness; lethargy; constipation.
suprastin	The drug is the first generation. After receiving its action starts after 15 minutes and the duration of therapy is about 6 hours. This tool is not indicated for children in infancy, is shown receiving only upon execution of 3 years.

antiseptics

When a virus infection is necessary to process antiseptic nasal passages, skin rashes, not to festered.

Commonly prescribed to children are the following antiseptic products:

Title	Description
Miramistin	The drug is available in vials in liquid form, as well as an ointment. This tool is suitable for the treatment of infants, because it has the ability to not be absorbed through the mucosa. From it in very rare cases, an allergic reaction. It is important to comply with dosage and not to use the kids for more than 3 times a day. The drug is effective for the treatment of the nose and throat gargle.
furatsilin	This time-tested remedy for the treatment of the outer skin, gargling. It is available in tablets which dissolve in hot water, as well as a solution and ointments. The composition includes Furacilinum nitrofurazone component. It can penetrate inside cells to destroy foreign bacteria and viruses.
Iodine	It applied as a 5% alcohol solution. This is an excellent tool for the treatment of wounds on the skin. It can not be used by children up to a year, so as not to cause burns to the delicate skin of the baby. Infants can, if diluted to a 2% solution. For the treatment of throat applied Lugol's solution, which includes iodine.
Stomatidin	This antiseptic has long existed, is a clear red solution. Applied for gargling, oral treatment. It consists of alcohol, therefore permitted to carry out procedures for children from 5 years.
Geksoral	Available in a spray solution for gargling and tablets which can dissolve. Spray is assigned to those who have the virus manifests itself in the form of inflammation in the throat. Geksoral used with 3-6 years of age.

antivirals

The pharmaceutical industry produces a wide variety of antiviral drugs, but not all are suitable for children. Only a doctor will be able to choose the right tool for the treatment.

Most appointed are:

Title	Description
Amiksin	The drug is available in tablets of orange color. He serves as the immunomodulating and anti-virus. Shows for children from 7 years old. Prescribe it only has a pediatrician.
viferon	Tool is available as a rectal suppository. They are convenient to administer to young children up to a year. Has antiviral and immunomodulatory effects. Appoint 1 suppository morning and evening for 5 days.
Arbidol	The drug is produced in different forms: suspensions, tablets, powders and capsules. The most convenient for the suspension of the children, which can be dissolved in water for making the inside.
Gamma globulin	It is used for the prevention of viral infection. It is well stimulates the immune system, as well as struggling with the virus Coxsackie. It is administered to children by injection.

absorbent products

Enterosorbiruyuschee tools help more to get rid of toxins produced by viruses.

For this purpose are used:

Title	Description
enterosgel	The drug can be administered to children regardless of age. He is able to purify the body, starting from the first months of life. Children up to the year means stir in breast milk. Assigned to receive up to 6 times per day.
Smecta	Product is manufactured abroad and sold at an affordable price. Gentle on the stomach and intestines, removes toxins from the body of the child. Available drug in powder form soluble in water.
Activated carbon	It is produced in powder form and in the form of tablets, capsules, granules. It is prescribed to children, but parents need to remember that activated carbon removes harmful substances, but it is irritating to the mucous membrane of the intestine. Assign children under one year of age and older. It is important to observe the correct dosage, prescribed pediatrician.

possible complications

Coxsackie virus in children after the disease rarely causes complications. If it happened, it is very dangerous: infection, wind- blood gets into many vital internal organs.

There are complications, leading to the development of serious diseases such as:

• hepatitis;
• myocarditis;
• insulin-dependent diabetes mellitus;
• encephalitis;
• meningitis;
• myositis;
• edema, and necrosis of the muscle tissue.

To like this has happened, you should immediately seek help from a specialist and start the treatment of the disease in a timely manner.

The forecast Coxsackie

Most often, the disease has a positive outlook and be cured without any consequences. Only unfavorable result in myocarditis may be newborns, as well as complications such as serous meningitis. In the treatment of children in hospital are discharged completely healthy after 2 weeks.

Unfortunately, it is impossible to protect against coxsackie virus infection, especially when children are surrounded by sick people. Fail to develop immunity, the virus can get sick again, but the disease will be moved more easily.

Interesting video of Coxsackie virus, symptoms of the disease and methods of treatment

Fragment of the program "Live healthy" about the virus Coxsackie:

Dr. Komarovsky of enteroviruses: