Herpangina
Definition
Herpangina is a viral illness in which ulcers and sores (lesions) form inside the mouth, and there is a sore throat and fever.
See also: Hand, foot, and mouth disease
Causes
Herpangina is typically caused by Coxsackie group A viruses.
The number of cases of herpangina is unknown, but it is a common childhood infection. It is most often seen in children ages 3 - 10, but it can occur in any age group. Cases of herpangina at school or in the neighborhood increase the chances that your child will develop the illness.
Symptoms
- Fever
- Headache
- Loss of appetite
- Sore throat, or painful swallowing
- Ulcers in the mouth and throat, and similar sores on the feet, hands, and buttocks
The ulcers usually have a white to whitish-gray base and a red border. They may be very painful. Generally, there are only a few sores.
Exams and Tests
Tests are not normally necessary. Diagnosis can usually be made from the history and physical examination.
Treatment
The symptoms are treated as necessary:
- Take acetaminophen (Tylenol) or ibuprofen (Motrin) by mouth for fever and discomfort as the doctor recommends.
- Increase fluid intake, especially cold milk products. Gargle with cool water or try eating popsicles. Avoid hot beverages and citrus fruits.
- Eat a non-irritating diet. (Cold milk products, including ice cream, are often the best choices during herpangina infection. Fruit juices are too acidic and tend to irritate the mouth sores.) Avoid spicy, fried, or hot foods.
- Use topical anesthetics for the mouth (these may contain benzocaine or xylocaine and are usually not required).
Outlook (Prognosis)
The illness normally clears up within a week.
Possible Complications
Dehydration is the most common complication, but it can be treated by your doctor.
When to Contact a Medical Professional
Call your health care provider if:
- Fever, sore throat, or mouth sores last for more than 5 days
- Your child is having trouble drinking liquids or looks dehydrated
- Fever becomes very high or does not go away
Prevention
Coxsackie virus is transmitted by contamination with feces, which means you can catch the virus by touching your mouth or eating without thoroughly washing your hands. Good handwashing practices can help prevent transmitting most viruses.
Being aware of other cases of herpangina in your neighborhood or school may allow earlier diagnosis.
References
Abzug MJ. Nonpolio enteroviruses. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 247.
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.
Adventist HealthCare · 301-315-3030 · 1801 Research BLVD, Suite 400, Rockville, MD 20850
Get Care
Health & Wellness
Patient Information
Website Information
Ways of Giving
