Enteroviral infections
Background
- Includes echovirus and coxsackie
- Rubella-like appearance of rash w/ discrete maculopapular nonpruritic rash
- No specific therapy; self-limited
Hand-Foot-and-Mouth Disease
- Caused by coxsacke virus
- Brief prodrome w/ low fever, anorexia, sore mouth
- Oral lesions appear 1-2d later
- Vesicles on erythematous base
- Painful
- Hand/foot lesions
- Red papules that change to gray vesicles
Herpangina
- Caused by coxsackievirus
- Prodrome
- Sudden onset of high fever, sore throat, malaise
- Rash appears 24-48hr after prodrome
- Vesicles 1-2 mm in size that rupture leaving shallow, painful whitish ulcers on soft palate/posterior pharynx
- Similar to hand, foot, mouth disease but w/o skin lesions
- Lasts 7-10d