An acute disease, the causative agent of which is the Coxsackie virus, is called herpetic angina. According to the symptoms, herpes sore throat is similar to various pathologies of ENT organs, which are caused by other reasons.
During the manifestation in children of the first symptoms and signs of herpangina, for its accurate diagnosis, an examination by an otorhinolaryngologist is required. Only he can distinguish herpetic sore throat from bacterial and correctly develop a treatment regimen.
The causative agent of the disease is transmitted by airborne droplets (during communication, sneezing, coughing), in rare cases, fecal-oral infection is possible.
The carrier of the pathogen is an infected person or patients who have already had this disease, since the virus can still be released within a month.
When the virus enters through the mucous membranes of the nasopharynx, it begins to spread to the lymph nodes of the intestine. Here it actively multiplies, after which it penetrates the circulatory system, which allows it to quickly spread throughout the body.
Incubation period
The incubation period can last up to 1-3 weeks. This stage is characterized by the absence of external signs and clinical symptoms of the disease.
At the next stage, tonsillitis symptoms increase and have a more pronounced course. Specific signs are noted - blisters on the tongue, larynx and tonsils.
After a few days, they open, forming small ulcers, which combine over time, creating one big erosion. There are sensations of pain in the larynx, which intensify when swallowing. After about 10 days, symptoms begin to decrease.
Causes of herpetic sore throat in children
Herpes sore throat usually affects newborn children. But this does not exclude the possibility of infection of adolescents and adults. The main cause of the disease are ECHO viruses and the Coxsackie virus, which belong to the enterovirus group.
They affect the tissues of the oral mucosa, nerve and muscle fibers, the brain, as well as the kidneys and heart. For this reason, against the background of herpetic sore throat, disorders in the cardiovascular system, intestinal tract, and convulsions are noted. This is often the cause of complications.
The main provoking causes of the disease:
Herpetic sore throat in infants up to a year does not appear often, but if the disease develops, then it necessarily goes away with complications. As a rule, this disease is diagnosed at the age of 5-16 years. Moreover, the older the child, the more difficult the course of the pathology occurs.
Symptoms in children
The main feature of the course of herpetic sore throat is the unexpected onset of the disease. A sharp deterioration is expressed by chills and a strong increase in temperature. At the first stage of the disease, the child constantly begins to act up, completely loses interest in everything that happens, becomes irritable and lethargic.
In addition to these changes in behavior, children can refuse to eat food, feel uncomfortable sensations during swallowing. Manifestations are expressed by an increase in the size of the lymph nodes, which can be easily observed visually. During palpation, a sensation of pain appears.
Many children have a sore throat when swallowing. The most severe herpes sore throat occurs in infants. Their development of the disease is complicated 
Symptoms of herpetic sore throat are as follows:
| Nature of manifestations | Symptoms |
| General symptoms |
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| The development of the disease in infants |
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| Symptoms of disruption of the intestinal tract |
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With angina in children, severe dehydration is characteristic, which will require urgent hospitalization.
Is there a rash on the body
Rashes on the skin most often are single. The rash is caused by the spread of the virus from the oral cavity through infected saliva. If herpetic angina develops in children, treatment must be carried out in compliance with hygiene rules. It is necessary to monitor the salivation of the child, regularly wash his hands, wipe his body and face with new towels each time. 
A rash during a sore throat has certain features. Thus, with streptococcal infection, the rashes look like red spots, mainly located in the neck and chest area. To the touch, the rash resembles a rough and hard surface resembling sandpaper.
Herpetic disease is also characterized by the formation of watery rashes, which are most often found in the area of \u200b\u200bthe heels and wrists. This rash occurs about the day after a laryngeal lesion.
In appearance, pathological rashes resemble the beginning of the development of herpes, and the vesicles often merge, forming rather large areas of damage on the skin.
The rash on the body during a sore throat needs to be treated with moisturizing gels, which have a calming and antibacterial effect. This will make it possible to restore the integrity of the skin, leaving no traces of rashes, as well as quickly get rid of blisters, itching and red patches on the body.
Herpetic tonsillitis in children implies only a comprehensive treatment. If this disease is diagnosed, first of all, it is aimed at getting rid of the inflammatory process. As drugs, the use of antiviral agents is prescribed. These medicines are applied to the body in the form of ointments or creams.
Differences of herpangins from other species
Most often, a professional otorhinolaryngologist can establish a diagnosis without special examination methods, since the nature of the clinical symptoms and manifestations of the disease makes it possible to distinguish it from many similar pathologies.
Difficulties in diagnosing appear in people who do not understand this area - herpetic sore throat is usually confused with diseases such as herpetic stomatitis and bacterial sore throat.
Also very often herpangina is mistaken for purulent (bacterial) tonsillitis.
- Symptoms of herpes sore throat that are not noted during bacterial - the appearance of a runny nose and the localization of rashes outside the tonsils.
- If bacterial infection develops, then a runny nose does not appear, and purulent formations are located only on the surface of the tonsils.
- Herpetic sore throat in children (treatment and diagnosis in certain cases is difficult) without rashes is similar to a catarrhal sore throat, and stomatitis with blisters in the sky is often mistaken for herpes sore throat. In such situations, laboratory methods of diagnosis are used:
- ELISA for the detection of antibodies to certain viruses;
- PCR to directly determine the virus.
Possible complications of the disease
The occurrence of consequences after herpangins is due to untimely or incorrectly conducted treatment. Complications are manifested in the form of severe diseases with an independent course.
Among the main consequences are:
Most often, the consequences appear if their symptoms are expressed at the acute stage of the disease. For example, loss of consciousness, spasm of the masticatory muscles, persistent headaches are symptoms of meningitis, heartaches indicate infection of the circulatory system.
During the manifestation of various symptoms in the acute stage of the disease, a mandatory examination is required to prevent complications.
Regime events
Herpetic angina in children is only complex treatment. Moreover, it, first of all, consists in organizing comfortable conditions for the fastest recovery, for which the following measures are applied:
- isolating the child from others, since it is contagious even during recovery, since the virus is in biological fluids for 2-3 months;
- bed rest;
- it is forbidden to increase the temperature in the throat locally, this will only accelerate the reproduction of the virus;
- it is necessary to maintain the optimum temperature in the room and regularly ventilate it;
- drinking plenty of fluids is recommended, which can help remove the virus from the body.
Drug treatment
At the moment, no drugs have been created that could accelerate the recovery of a patient with herpetic sore throat. Treatment consists only in alleviating the symptoms, and the body must directly fight the cause of the disease.
Treatment of children with herpetic sore throat allows you to use many tools. Most commonly used:
Rarely resort to taking hyposensitizing strong drugs - Claritin, Suprastin. Since the processes of inflammation can not often reach such an extent that the use of powerful agents is necessary.
Antihistamines often cause side effects. Their use is not recommended if mild herpetic sore throat is diagnosed in childhood. Treatment is intended only to alleviate the symptoms of the disease. That is, if the temperature has dropped below 38 ° C, then you do not need to take antipyretic drugs.
Herpetic sore throat in children (drug treatment must be agreed with the doctor) does not allow the use of drugs against herpes (for example, Acyclovir) and broad-spectrum antiviral compounds (Groprinosin, Tsitovir-3, various immunomodulators). The former will not be useful, since they cannot act on enteroviruses; the effectiveness of the latter has not been proven to date.
Also, do not forget that viral diseases are not treated with antibiotics, they are used only in case of complications - the addition of a bacterial infection.
If an infection of the ulcers has occurred or concomitant diseases have occurred, for example, bronchitis or tracheitis, antibiotics will be needed.
As a rule, penicillin group preparations are used - flemoklav or augmentin. At a more severe stage, macrolides or cephalosporins are used, in some cases, with a stable bacterial infection, several antibiotics are combined. The dosage and the course of taking any medication is prescribed exclusively by the doctor, self-medication in this case is prohibited.
Physiotherapeutic procedures
Herpetic sore throat in children (treatment and prevention involves the implementation of certain physiotherapeutic procedures) may not cause dangerous complications if the treatment regimen is drawn up correctly.
To speed up the healing process, the most effective physiotherapeutic procedures are as follows:
Rinse and irrigation
To alleviate the condition, relieve swelling of the tonsils and remove infection from the pharynx, you can use rinses and irrigation, which must be performed each hour, for which infusions and decoctions of medicinal plants are used:
Tonsil lubrication
It is best to treat tonsils before bedtime.
In this case, the therapeutic substances have a healing effect throughout the night:
- Propolis. Treat with tincture of propolis glands three times a day.
- Fir oil. To process tonsils with this tool is most convenient with a cotton swab. Perform the procedure up to 6 times daily.
- Kitchen salt. Salt must be treated inflamed areas. Perform the procedure up to 6 times daily.
- Iodine. It is convenient to carry out the processing using cotton wool wound on the handle of a spoon.
Inhalation
You should breathe during this procedure with your mouth wide open. After inhalation, it is forbidden to eat food for 2-3 hours. 
The most effective recipes are as follows:
- Eucalyptus. 2 tsp eucalyptus is stirred in a glass of water. Perform inhalation three times a day.
- Onion. Finely chopped onions should be laid out on a saucer. It is necessary to breathe through the mouth for 3-4 minutes. Onions can be used no later than 20 minutes. after grinding, as it loses its healing properties.
- Pine buds. 1 tbsp. l needles need to be filled in with 2 glasses of water and boiled for 15 minutes.
- Garlic. Grate 1 head of garlic and add 0.5 l of water, then bring to a boil. Inhalations should be carried out up to 5 times daily.
Tonsil Removal
Today, doctors are more and more prone to conservative methods of treating herpetic sore throat, but sometimes tonsil removal is required. If the herpangin rarely happens, then tonsils do not need to be removed, but if traffic jams constantly appear in them, then most likely the doctor will recommend their removal.
A person has 6 tonsils, but most often only 2 palatine tonsils are removed. After the operation, the remaining tonsils begin to work more actively, replenishing the functions of the removed organs.
Tonsil excision surgery is called tonsillectomy. There are several ways to perform this operation. The surgeon is obliged to choose the most effective, taking into account the diagnosis. It is necessary to correctly assess the possible risks, as well as the individual characteristics of the child's body. In view of the situation, the tonsils are removed completely or partially. 
Herpetic sore throat in children is a disease with serious complications that can be life-threatening. Properly performed treatment will not allow the development of these severe side effects. Why do you need to consult a specialist at the first sign of an illness, follow all his recommendations and complete the treatment course.
Article design: Vladimir the Great
Video about herpetic sore throat
Symptoms of herpetic sore throat:
Mostly children under 10 years old are ill, and after recovery a persistent one is formed, so the number of cases of herpetic sore throat in adults is insignificant (moreover, it proceeds more easily).
Causes of the disease
Like most viral infections, herpetic sore throat is transmitted predominantly by airborne droplets. Due to the high virulence (contagiousness), the virus spreads rapidly in children's groups, and a long incubation period (up to 7 days) does not immediately identify and isolate the carrier of the infection.
In addition, you can become infected in other ways:
- alimentary - through infected food, as well as non-compliance with hygiene rules (dirty hands and toys);
- contactwhen the pathogen is transmitted with saliva or nasopharyngeal mucus.
Since the child is contagious even after recovery, a quarantine of at least 2 weeks after discharge is recommended.
Symptoms and photos of herpetic sore throat in children
The main symptom of the disease is characteristic rash in the throat. Initially, it looks like bright red papule nodules in the tonsils and upper palate, which changes appearance during the day. Papules are transformed into vesicles - very painful vesicles with a transparent liquid, similar to herpetic ones (hence the name). Within 2-3 days they open, and in their place scabs form, which are safely washed off with saliva after a couple of days.
In addition, herpetic angina has other symptoms:
- swift temperature rise to high values \u200b\u200bwithin two to three hours;
- sharp "stitching" sore throat, greatly amplified by touching papules, as well as while drinking and eating;
- strong runny nose and;
- enlargement of the cervical and parotid lymph nodes;
- general weaknesscharacteristic of infectious diseases;
- digestive disordersmanifested by nausea and.
In rare cases there may be a lack of the main symptom - rashes and vesicles. The throat at the same time only turns red and takes an edematous appearance. Additional rashes on the limbs and trunk are also possible.
Important! An increase in temperature with herpetic angina has a specific feature. It reaches high values \u200b\u200bin the first and third days of the acute stage of the disease.
In children of the first year of life, other, more dangerous symptoms may also manifest. More precisely, against the background of herpetic sore throat and weakened immunity, serous meningitis, encephalitis, pyelonephritis, and cardiac abnormalities additionally develop. The appearance of seizures is the main sign of incipient meningitis, which requires emergency hospitalization and observation by a neurologist.
Diagnosis and treatment
In most cases, the diagnosis of “herpetic sore throat” is quite simple. The combination of fever with a runny nose, sore throat and a characteristic rash are signs of this particular disease. Inspection is enough for diagnosis, sometimes it may be necessary to donate blood for analysis (leukocytosis confirms the presence of herpangins).
A layman can take the usual catarrhal sore throat for this disease, especially if the course is not typical, without the formation of vesicles. In this case, the main differential symptom is a runny nose. An erroneous diagnosis can also be made by taking vesicles with liquid for ulcers characteristic of follicular tonsillitis. However, only tonsils are affected with it, and never - the pharynx, palate and tongue.
Quite often, herpetic sore throat is confused with stomatitis, which preschool children often suffer from. Here, the localization of the vesicles must also be taken into account. With herpetic stomatitis, they are formed mainly on the gums, tongue and inner surface of the lips (see photo above).
Drug treatment
There is no specific therapy for herpetic sore throat: the body itself must cope with the pathogen and develop immunity. Treatment is aimed at strengthening the body's defenses and alleviating the manifestations of the disease. The patient is recommended strict bed rest, a sparing diet (boiled mashed food) and an optimal microclimate. The room should be regularly ventilated and have enough humid air. The doctor usually prescribes:
- Antipyretic drugssafe for children. These include Paracetamol, Ibuprofen and Nurofen. The use of aspirin is completely excluded, since it has a serious side effect.
- Analgesics to reduce: Hexoral, lidocaine solution or Teraflu Lar. They act for several hours, significantly reducing pain.
- Warm plentiful drink - A prerequisite for the successful treatment of any infectious disease of the respiratory tract in general and herpetic sore throat in particular. A sufficient volume of fluid helps the body cope with thermoregulation and quickly remove toxins, which helps to accelerate recovery.
- In order to disinfect, reduce inflammation and pain are shown rinse. Commonly used soda and saline solutions, poison herbs.
As for special antiseptic preparations for irrigation of the mucous membranes, as well as greens, and Lugol's solution for lubricating the vesicles, their use is impractical. Firstly, they practically do not have a therapeutic effect, and secondly, they significantly increase the already sharp pain in the throat.
Herpetic sore throat is treated in children almost always outpatient. Hospitalization, a detailed examination and observation of specialists are required only if there are signs of meningitis and malfunctioning of internal organs. The duration usually does not exceed 7-10 days, during which the symptoms disappear and a stable immunity to the pathogen is formed.
Herpes sore throat is an acute infectious-allergic disease, a viral inflammation of the tonsils caused by Coxsackie viruses belonging to the type of enteroviruses. Their distinctive feature is the effect on the epithelium, muscles, nerves, which is why herpes sore throat, the symptoms and treatment of which children need to know for parents, is usually combined with damage to other organs and systems.
The dangers of infection are most exposed to preschoolers and primary schoolchildren, although the development of the disease is also possible for adults, especially weakened ones. It is considered to be children's, and in infants up to a year it is rarely diagnosed. This is due to the receipt of newborns in utero and during breastfeeding of passive immunity from the mother. Children under 3 years of age do not tolerate this type of enterovirus. The only positive feature of this disease is the development of a stable immunity against it: re-getting sick with herpangina is extremely rare.
Gerpangin was described almost 100 years ago by T. Zagorsky. Despite the name, in fact, herpes sore throat in children has nothing to do with herpes. This type of sore throat was called so by the external similarity of symptoms with herpes, due to the fact that before there were no modern digital diagnostic tools. It may have other names: vesicular pharyngitis and herpetic tonsillitis.
It is transmitted from a sick person through his saliva, hands and things. The causative agent is released into the surrounding space during the first week of the disease, later the spread is reduced.
The virus is transmitted not only by patients, but also by convalescents, as well as carriers that do not attach importance to the asymptomatic form. Seasonal disease: outbreaks of the disease in children's groups most often occur in the summer and autumn periods and are very similar to epidemics of respiratory viral infections. At this time, many healthy adults and children are carriers who are accompanied by covert immunization. The virus is spread everywhere, but occurs in isolated cases, epidemics and outbreaks.
The same type of virus acts in different ways: in some it causes herpangin, in others it causes meningitis, and still others do not get sick. The severity of the disease is due to the patient’s state of health, the number of viruses he received, and the body’s ability to fight them.
Herpesvirus tonsillitis most often affects children aged 4 to 14 years. This is due to increased activity when getting to know the surrounding space and visiting children's educational institutions, which becomes the main cause of virus infection. Moreover, the older the child, the more serious the disease. Kids up to a year fall ill infrequently, but quite seriously, and this practically does not do without consequences.
Sources and routes of infection
The main causes of herpes sore throat in children are the periodic activation of enterovirus, especially Coxsackie. Infection can appear in a weakened body of a child with SARS. The following factors provoke the disease:
- seasonal weather;
- decreased immunity;
- influenza or herpes viruses;
- allergy;
- bowel disorders;
- cold, wet feet, abuse of ice cream;
- drinking too cold water;
- multiple stressful situations.
There is a version that people continue to be sources of infection for quite some time after cure.
The herpangina virus is transmitted in the following ways:
- airborne when the patient sneezes and coughs;
- household way when using joint items;
- contact - when communicating with a sick person, the risk of ingestion of saliva and compartments from the nose and pharynx increases.
Once in the body, enterovirus is reproduced in the lymph nodes of the intestine, then spreads with blood everywhere. The duration of the latent stage is 2-14 days. The strong protection developed will not work if the cause of the disease is a different virus.
Symptoms of the disease
The similarity with other viral diseases at the very beginning of the herpangina gives many identical symptoms characteristic of any infection. Common signs are:
- fever with chills;
- weakness, lethargy, anemia;
- refusal of food;
- feeling of tiredness;
- pale color of the skin;
- enlarged lymph nodes;
- cough;
- sore throat when trying to swallow;
- dry mucous membranes in the mouth;
- bruises under the eyes.
Babies may experience gastric disturbances. However, the combination of these indicators does not make it possible to establish the correct diagnosis. It is important to pay attention to the temperature, which with enterovirus reaches its maximum on the 1st and 3rd day of illness. At the very beginning of the onset of insidious symptoms in the oral cavity, one should carefully monitor its condition - an allergy may appear in the form of edema.
Diagnosis of herpangins
Diagnosis of herpes sore throat allows its inherent rashes on the palate, tonsils and posterior pharynx.
The final diagnosis can be made after isolation of pathogens in the follicle contents or antibodies to the Coxsackie virus detected during analysis. Accurate diagnosis of herpangins is based on virological and serological (elimination response) studies. The source of the first is swabs from the pharynx. In the second form, serum is used. The most effective laboratory method is the immunofluorescence method.
A distinctive diagnosis is based on the age characteristics of children and depends on the season and distribution of vesicles in the mouth. Herpangins are not characterized by a rash on the face, hemophilia of the mucous membranes, there is no increased salivation and inflammation of the gums. Often, these symptoms are joined by other symptoms of herpes sore throat: pain in the abdomen, which is a consequence of muscle pain.
Experienced specialists can determine the herpangina during the examination of the throat by specific rashes. Laboratory tests are carried out to justify it. However, they can show pathology during the course of the disease, for example, if a bacterial infection has joined, which will require clarification of the diagnosis and new appointments.
The disease can occur both separately and in combination with other enteroviral pathologies - meningitis, encephalitis, myalgia, which this type of virus also causes. That is why herpes sore throat in children is considered very dangerous, and the appearance of such signs signals that it is time to go to the doctor.
Course of the disease
The onset of the disease is quite acute and is accompanied by a sharp increase in temperature, which persists for 3 days, pain during swallowing, and the appearance of liquid-filled vesicles in the mouth. In the future, part of them disappears, and the rest are opened. Small bubbles merge into entire sections, usually no more than 15. Such erosions are covered with a white or grayish coating with reddening surrounding them. Healing often takes quite a long time - over 20 days. Lymph nodes under the lower jaw slightly increase, but do not cause pain. In some cases, vesicular stomatitis may accompany herpangina. On the website of Dr. Komarovsky, you can see a photo of what the throat of a child affected by vesicles looks like.
With a favorable course of the disease, ulcers in the oral cavity heal in a week, and recovery begins. In the case of regular injury to erosion and erroneous treatment, the duration of the disease increases. It is strongly not recommended to puncture the papules in the mouth so that the infection does not spread to other organs. There are atypical types of the disease with mild symptoms - the presence of signs of a respiratory disease, but without a rash in the throat. In this case, rashes occur periodically, accompanied by a repeated increase in temperature and intoxication.
Care and therapy
The treatment of herpes sore throat in children is practically no different from the treatment of other enteroviral types of tonsillitis and pharyngitis. The patient requires strict bed rest and care. A diet that includes liquid foods rich in vitamins should be provided so as not to cause unnecessary injury to the mucosa. A menu containing fatty, spicy, sour foods is not recommended. It is necessary to provide the child with a plentiful drink, contributing to the elimination of toxic substances. On the contrary, if there are symptoms of meningitis, the diet should be limited and diuretics prescribed to prevent cerebral edema.
Due to the viral nature of the disease, antibiotics are not advisable if there is no secondary infection. Also, with enterovirus, the appointment of acyclovir, which is used to treat herpes, is ineffective. Symptomatic drug therapy: rinsing the mouth, the use of painkillers and anti-inflammatory drugs.
Antiviral drugs are prescribed by a doctor who will determine the risk of side effects, calculate the dose. Usually advised antiviral agents based on interferon: Viferon, Cycloferon, which are quite effective in such infections. It is undesirable to bring the temperature down to 38 degrees, except in cases where the child has a personal poor tolerance of fever. Perhaps and preferably closer to the time of recovery, so as not to cause exacerbations, start drinking immunostimulating drugs.
Topical applications are antiviral and healing ointments, rinsing and irrigation of the throat with disinfectant fluids, as well as sprays that additionally act as painkillers and enveloping agents. To relieve swelling and soreness in the throat, the doctor prescribes allergy medications, usually they include the latest generation antihistamines, which, with prolonged use, do not cause a tendency to sleep. Physiotherapy and the use of a laser, which are recommended if the disease is delayed, can serve as additional healing factors. In no case should you do compresses and inhalations - they can lead to accelerated reproduction of viruses and their penetration into other organs.
Herpangina therapy should have an integrated approach. Folk remedies are also quite effective in treatment. Aloe juice diluted with water is used, which has excellent healing ability and helps strengthen immunity. Beetroot juice is effective in case of herpangin; they gargle with it and drink in limited quantities. You can apply:
- warmed milk with butter and honey;
- tea with lemon, raspberry or honey;
- decoction and tinctures of rose hips, as well as mint and lime;
- gargle with a solution of salt, iodine and soda.
The treatment of the disease must be approached in all seriousness. Incomplete or poorly cured herpangina, especially in a weakened child, can lead to quite serious complications. This is the insidious Koksaki virus, which is the cause of the disease. If you do not neutralize it in a timely manner, it can affect the nervous system and many organs. The most dangerous consequences of the disease can be nephritis, meningitis, sepsis, myocarditis and many other diseases, any of which will leave a mark on the entire subsequent life of the child. That is why it is very important to cure herpes sore throat completely.
The best option is to prevent the disease. Prevention is fully consistent with the prevention of other viruses. It consists of:
- in isolation of the child from the infected;
- in increasing defenses;
- the need to cure any disease on time;
- avoid overcooling and drinking ice drinks;
- in the use of vitamins;
- in hardening and walking;
- avoidance of stressful situations and timely measures to eliminate them.
Then it will be possible to eliminate the dangers awaiting as a result of this disease.
The disease is seasonal. It affects mainly children, is transmitted through air and upon contact. Diagnosis of the disease is difficult due to the fact that most of the symptoms of the initial stage are similar to other viral ailments. A distinctive symptom is the appearance of specific vesicles in the oral cavity. Proper care of a sick child and correctly prescribed treatment will speed up its healing and reduce the risk of complicating factors.
Angina is a term known to medicine since ancient times. Angina is a general disease caused by an infectious agent with local lesion and inflammation of one or several elements of the pharyngeal lymphoid ring. The tonsils are inflamed most often.
Of all sore throats, 90% are sore throats caused by viruses. Among viral tonsillitis in children, cases of herpetic sore throat are found at any age. It is useful for parents to know what this disease represents and how it manifests itself, so that when you encounter it, you don’t get confused, but go to the doctor in time and begin the correct treatment.
You will be surprised, but it turns out herpetic sore throat has almost nothing to do with the herpes simplex virus. Then why is it so called? The manifestations of herpangins were first described by Zagorsky in 1924, when the true culprits of the disease were not yet known to medicine. He called the sore throat herpetic because its manifestations were very similar to rashes with herpes: small, watery vesicles covering the soft palate and the front arches. To date, the true causative agent of herpetic sore throat has been established, but the name has remained the same.
Herpetic sore throat in children is a viral disease that resembles a simple sore throat, and at the same time, has signs of a herpes infection. This type of sore throat is caused by ECHO virus, which got its name in honor of the city where it was first discovered. Both viruses are species of enteroviruses. The most common culprit is the Coxsackie A virus. Other groups of viruses cause the disease much less frequently.
Is it possible to get herpetic sore throat?
Yes, it can be very easy. The susceptibility of children to these viruses is quite high. The virus enters the external environment with the discharge of the patient (saliva, mucus from the nasopharynx, feces). When a sick child enters the children's team, the disease spreads rapidly among children. The virus from a sick child can get to a healthy one in several ways.
3 ways to get a sore throat infection
- Airborne. During a conversation, coughing or sneezing, a virus from a patient with particles of saliva enters the air and circulates in it. With a large concentration of children in one room (in kindergartens, schools, or on family holidays), the virus quickly spreads through the air and enters the body of healthy children when breathing. This is the most common way of infection.
- Fecal-oral. In this way, infection occurs less frequently. The virus enters the body with toys, a pacifier, or other objects that a sick child had previously been in contact with. You can also get infected through food, dishes, and dirty hands. In other words, a healthy child swallows a virus left on things or objects that a sick herpangina had previously used.
- Contact.Infection occurs with direct contact of a healthy child with a patient through mucus flowing from the nasopharynx. Little children can cuddle, kiss, bite or lick each other, while easily picking up the infection.
You can get it from a sick person, from a carrier of the virus, which may not have any signs of the disease, or from a recovering one, which can release the virus into the environment for another 3-4 weeks. Rarely can pets become a source of infection, with which children love to play.
Herpetic sore throat can be caught at any time of the year, however, a sharp rise in the incidence is observed in the summer-autumn period. It is from the middle of summer and throughout the fall that the number of cases increases, so does the risk of infection.
More often than others, children under the age of 10 get sick. Although herpetic sore throat is found among all ages, but among children under 10 years old, cases of the disease are recorded much more often. Worst of all is children up to the age of three; their disease is always more severe than the rest. In babies up to six months of age, herpangin is extremely rare due to passive immunity (antibodies obtained with breast milk), which protects them from infection.
Herpangins development mechanism
After viruses enter the body through the nose or mouth, they collect in the intestine, accumulating in the lymph nodes, where they multiply. Having multiplied, viruses begin to penetrate into the blood, and with a blood stream are carried throughout the body. This is called viremia (the presence of viruses in the blood). Where viruses settle and harm, depends on the properties of the virus itself, as well as on the protective forces of the child's body.
The favorite congestion sites for the Coxsackie and ECHO enteroviruses are mucous membranes, muscles, especially cardiac, and nerve tissue. It is in these places that viruses settle more often, destroy healthy cells and cause inflammation, which is manifested by the corresponding symptoms of the disease.
Quite often there are cases when herpetic angina occurs against the background of other viral infections, for example, together with an adenovirus infection or the flu.
Children who have had herpetic sore throat remain stable immunity to this virus for life, but it will not protect the child from another type of virus. Thus, in the event of a collision with the same strain of the virus again, the child will not become ill, and if he encounters a new type of virus, then herpes sore throat can again become ill.
Who is at risk of getting sick?
The risk of getting herpetic tonsillitis is:
- Children attending organized children's groups (kindergartens, schools, camps). Collective children are more likely to catch an infection than unorganized children.
- In frequently ill children. Often sick children have weakened immunity, and therefore the risk of getting sick increases.
- In children with chronic diseases.
- In children with systemic diseases being treated with drugs that suppress the immune system.
Manifestations of herpangins in children
Manifestations are diverse. Herpetic angina may be the only sign of infection, or it may be combined with its other manifestations.
During the disease, a latent period, a peak period and a period of resolution or recovery are distinguished.
The latent period of the disease, when there are still no manifestations, but the virus has already entered the body, can last up to two weeks, but more often the child becomes ill within 2 to 4 days after the virus penetrates.
An acute onset, reminiscent of the flu, is characteristic of the period of the height of herpetic sore throat. The temperature rises high, 39 ºС and higher, the head hurts, the whole body aches and hurts, weakness occurs. A sore throat bothers the child from the first days of the disease, it hurts to swallow, his appetite decreases, and a runny nose and cough can also join. Other symptoms of enterovirus infection may appear a little later - nausea, vomiting, loose stools, a child may complain that his stomach hurts. Other symptoms do not always join, the disease can manifest itself only with angina. Angina caused by Coxsackie viruses has its own characteristics.
Features of herpetic sore throat:
- fast development. Inflammatory changes in the oral cavity occur from the first days of the disease. The conversion of a rash from one element to another is characteristic. Therefore, the appearance of papules (a rash protruding above the surface of the mucosa) may not be noticed. Most often, a rash is found already at the stage of the appearance of vesicles;
- on the reddened and edematous mucosa of the soft palate, tonsils and posterior pharyngeal wall, single or grouped watery or purulent vesicles form. Bubbles are rare, but can even appear on the mucous membrane of the cheeks. Unlike caused by the herpes virus, vesicles never appear on the gums or on the surface of the tongue;
- vesicular rashes painful. A child may complain that his mouth hurts, and young children may even refuse to eat and drink;
- after a couple of days, the bubbles burst, and instead of bursting bubbles, erosion with a red rim around the edges remains. Erosions can be located singly, but can merge, forming extensive wound surfaces with uneven edges;
- heal erosion slowly. The healing process lasts 2 to 3 weeks. In children with weakened immunity, repeated rashes can be observed, when they appear, the child feels bad, his temperature rises again and everything starts anew.
Closely located lymph nodes respond to the appearance of rashes in the oral cavity. The chin lymph nodes increase slightly. In children weakened after an illness, as well as with problems with the immune system, in addition to the chin lymph nodes, the submandibular and cervical react. In such children, a generalization of infection, the spread of a large number of viruses throughout the body, with the development of severe, life-threatening complications, is possible.
The recovery period begins with the normalization of temperature. In the classic course of herpetic sore throat, the temperature lasts no more than three days, and then drops sharply. All rashes heal within a week. When a secondary infection joins, as well as in severe manifestations of enterovirus infection, the healing process is delayed, complications from the nervous system (meningitis, encephalitis), heart (myocarditis) and kidneys (glomerulonephritis) can develop. Such a development of events usually occurs if the child has any disturbances in the functioning of the immune system.
In addition to the classic form of herpetic sore throat, atypical erased forms are also found. They flow easier, without characteristic rashes, recovery is faster. Hidden forms often go unnoticed, since there are no characteristic manifestations, and patients are usually diagnosed with SARS.
Diagnostics
The diagnosis of the standard course of herpangins, at the time of an epidemic outbreak, can be made during a routine examination. He is exposed by a pediatrician or ENT doctor. During the examination, characteristic rashes with typical localization are visible. Also take into account seasonality and contact with patients.
However, in isolated cases of infection, the diagnosis is quite difficult to make. Of course, you can use laboratory research methods, but in most clinics the necessary methods are not available.
Therefore, the diagnosis is made only on the basis of examination in the presence of a clear picture of the disease and according to the observation of the child during the illness.
In a general blood test, changes characteristic of the inflammatory process are detected - leukocytosis and accelerated ESR.
For accurate determination of the pathogen, virological and serological diagnostic methods are used. To detect the virus using the PCR method, swabs and swabs obtained from the nasopharynx no later than 5 days from the onset of the disease are needed.
The serological method is based on the detection of antibodies to enteroviruses. This requires a double blood test taken at the beginning of the disease and repeatedly with an interval of 10 to 14 days. A fourfold increase in titer indicates the presence of enteroviruses in the body.
If there are complaints and any deviations from other organs and systems are detected, the child is referred for consultation with a specialist in the relevant field or for additional examination methods.
Herpetic tonsillitis treatment
Most children are treated at home to prevent the spread of infection. Children under the age of one year, with a severe course, with the development of complications, invalids and children with chronic diseases are hospitalized without fail. Below we consider the main directions of therapy for herpangins.
Regime events
For a speedy and complete recovery, it is necessary to follow a number of recommendations, including:
- isolation is a basic principle in the treatment of infectious diseases. Moreover, the child must be isolated not only from the team, but also from other children living in the family, brothers and sisters. High-quality isolation implies the existence of a separate room where healthy children will not be allowed, individual use of dishes, hygiene items. In most families this is not possible.
Therefore, for the period of illness of one of the children it is better to send healthy to a temporary stay with my grandmother or other relatives. Thus, you will reduce the time spent by the infection in the family and material costs for the treatment of households.
After recovery, carry out a general cleaning using disinfectants.
- for the entire acute period of the disease, bed rest is necessary. Children, even with fever, are extremely difficult to keep in bed. But it is very important not to get complications. Try to keep your child busy, give him more time;
- special attention should be paid to the nutrition of the child. Since everything in the child’s mouth hurts, all foods that may cause irritation should be ruled out. These include acidic, pickled and salty foods, as well as solid and hot foods. Give your child liquid or semi-liquid foods that are warm, but not hot.
Special problems can occur with feeding infants. Due to painful rashes, babies often refuse to eat or even drink, and this is very dangerous at this age, because dehydration can quickly develop. In such cases, you can feed and drink the child after anesthesia. To do this, gels with anesthetic effect are suitable, or you can give anesthetic syrup inside, for example, Nurofen.
Drug therapy
There is no specific treatment, so all treatment is aimed at eliminating the symptoms of the disease. Prescribe drugs with antiviral activity (for example, Arbidol). Prescribing antibiotics for a viral infection is ineffective because they do not act on viruses. Antibiotics are used only if a bacterial infection is attached.
Despite the external similarity of rashes with a herpetic rash and the general viral nature of the disease, the treatment is still different. For example, Acyclovir successfully used for the treatment of herpes and coping well with its task, will not help with herpetic sore throat.
The thing is that it has a selective effect on herpes viruses of various types and is ineffective in the treatment of enterovirus infection. Therefore, it is pointless to use Acyclovir for the treatment of herpangins. For local treatment, it is better to use antiviral drugs in the form of gels (Viferon) or irrigate (spray) the affected mucosa with interferon.
Do not self-medicate, only a doctor is able to determine the true cause of the disease and prescribe the appropriate treatment. Improper treatment is not only a waste of time and money, but also an additional threat to the health of the child.
- to relieve swelling and redness, hyposensitizing agents are prescribed. These include Suprastin, Loratadin, Tavegil. They are selected in accordance with the age dosage;
- to reduce the temperature, antipyretic drugs (, ibuprofen) are prescribed, also in compliance with age-related dosages;
- as a local treatment, treatment of the oral cavity with various antiseptic, analgesic and healing agents is used.
To prevent the ingress of a secondary infection, it is recommended to treat the oral cavity with antiseptic solutions. Older children who know how to rinse their mouths on their own need to perform this procedure every hour. As antiseptics, a solution of furatsilin, Miramistin, Chlorhexidine, various herbal decoctions (calendula, chamomile, sage) are used. Children who do not know how to rinse their mouth use antiseptic solutions in the form of sprays. After rinsing with an antiseptic, it is recommended to treat the mucosa with antiviral drugs (Interferon, Viferon).
As part of complex therapy, Derinat is prescribed together with antiseptics, a drug that has proven itself in the treatment of diseases that cause inflammation and damage to the oral mucosa. Derinat stimulates the immune system, increasing the activity of cells that can recognize and neutralize cells infected with the virus.
Derinat also activates and accelerates healing processes, increases the resistance of cells and the body as a whole to the effects of viruses, bacteria and other infectious agents. In addition, it has an anti-allergic effect, relieves swelling and reduces inflammation. The advantage is that Derinat can be used from birth and has good compatibility with other drugs.
In the treatment of heprangins, Derinat's solution is used to rinse. The multiplicity of rinsing 4 to 6 times during the day.
The only negative can be considered a small amount of the drug in one bottle. It is only enough for one or two times. Rinse is necessary for 5 to 10 days. Given the cost of 250 and higher in various pharmacies, it turns out that treatment will cost quite cheap.
To speed up the healing, sea buckthorn oil, Dexpanthenol, rosehip oil are used.
The use of complex drugs gives a good effect: Ingalipt, Holisal, Tantum Verde. They anesthetize, disinfect and envelop the affected mucosa, protecting it from irritation.
Physiotherapeutic procedures
To stimulate and accelerate healing, UVR is also used. This method can only be used during the recovery period, after the acute inflammation subsides. In the acute period, UFO is contraindicated.
Modern mothers like to be treated with inhalations, using them from the first days of the disease. Inhalation is a good treatment in certain situations. But in the case when a cough joins a herpetic sore throat, inhalations are contraindicated, as are compresses. Any thermal procedures, which include inhalations and compresses, enhance blood circulation, give viruses a great opportunity to spread throughout the body, affecting new organs.
- vitamins C and group B are prescribed together with general treatment. If a child does not have an allergy, vitamin complexes suitable for age can be taken;
- for violations in the work of immunity, immunostimulating drugs are prescribed. A pediatrician can prescribe them, but it is better to consult an immunologist to find the right drug.
The prognosis for timely treatment and compliance with all recommendations is favorable. There is a full recovery.
Complications of herpetic sore throat
The development of complications indicates impaired immunity or the wrong and belated treatment of the disease.
- Complications of the nervous system. These include damage by brain viruses (encephalitis) and meninges (meningitis).
- Heart complication. They occur when viruses enter the heart tissue, which causes inflammation of the heart muscle (myocarditis).
- Kidney complication
Glomerulonephritis - This is a serious complication that occurs when viruses enter the kidney tissue.
All complications can lead to disability or death, so all sick children with complications are treated in a hospital.
Prevention
Vaccination against enterovirus infection has not yet been invented.
Therefore, the main method of prevention remains the timely detection and isolation of patients.
For patients and those who have contact with them, quarantine for a period of two weeks is introduced. In child care facilities where infections have been reported, disinfection is carried out. Contact children are given intramuscularly gamma globulin, depending on the weight of the child. At the end of the quarantine period, children can be in the team again.
During an outbreak of infection, the same means are used for prevention as for the prevention of acute respiratory viral infections. Antiviral drugs are prescribed. For example, Interferon is intranasal (drip into the nose) at a prophylactic dosage.
A good preventive measure is the normal functioning of the child’s immune system. The formation of good immunity should be dealt with from childhood: lead a healthy lifestyle, heal on time and not start a disease, get vaccinated and follow all the recommendations of a pediatrician.
Herpetic sore throat, like any contagious disease, requires timely diagnosis and treatment to prevent complications and the spread of infection. If you find any of the symptoms in your child, do not self-medicate, consult a doctor. This disease is usually treated by an ENT doctor. If there is no such doctor, consult a pediatrician.
Herpetic tonsillitis (herpetic tonsillitis, pharyngitis, herpangina) is caused by the Coxsackie enteroviruses and ECHO. Medicinal treatment of herpangin is necessary for children, since in adults, herpetic sore throat is mild and usually resolves without treatment.
Enterovirus infection is intestinal, but the Coxsackie virus affects not only the digestive tract, but also the respiratory tract, nervous system, and muscle tissue.
Is herpetic tonsillitis contagious?
The disease is transmitted from person to person:
- airborne transfer of the enterovirus from the patient to healthy;
- fecal-oral transmission of the virus.
They are infected with herpangina through toys, household items that have been in the hands of infected children.
Who can get herpangina?
Children are very susceptible to Koksaki enterovirus. In children's groups, the disease becomes an epidemic. The disease may occur 8 days after contact with a sick child.
Breasts do not get sick until six months, while they receive in sufficient quantities antibodies to enterovirus and other immune defense factors with breast milk.
Is it possible to be infected again with herpetic sore throat?
After the disease, a stable immunity is developed to the type of virus that caused the infection. It is impossible to get sick with the same serotype of the Koksaki enterovirus, and that is why adults rarely get sick.
But, since the herpangin is caused by 6 serotypes (varieties) of the Koksaki A and Koksaki B-3 virus, you can get sick again in adulthood.
When can you get a cold sore throat?
They suffer from herpangina more often in autumn and summer, which is typical for intestinal enteroviruses. The frequency of infection increases in June - September.
Symptoms of herpetic sore throat
Herpangina makes her debut with an acute onset with a sharp increase in temperature to 39 - 40 0 \u200b\u200bC. The temperature rises within 3 hours against the background of a general satisfactory state of health. High temperatures last up to 5 days on average.
Typical symptoms of hepatic tonsillitis in adults and children:
- a sore throat;
- the redness of the throat of the throat, which includes the soft palate, palatopharyngeal arches, the root of the tongue, soft tongue, the back of the pharynx, pharyngeal tonsils;
- inflamed submandibular, cervical, parotid lymph nodes;
- clearly delimited papules (elevation on the mucosa without an internal cavity), which later turn into vesicles - vesicles filled with liquid located on the pharynx;
- runny nose, cough;
- signs of intoxication - poor appetite, bluish nails, chills, sleep disturbance, nausea, muscle weakness.
Throat with herpetic sore throat in children
On the first day in the throat of the throat spills from 1 to 20 papules of bright red color, with a diameter of up to 2 mm. Then, liquid accumulates in the papules, and they turn into vesicles. Gradually, the size of the bubbles increases to 5 mm. The vesicle bursts, leaving a sore covered with a gray coating with a bright rim.
The sores, merging with each other, form ulcerations, but already on the 4th - 7th day of the disease they begin to heal. The wounds are completely tightened, leaving no traces of the disease.
Lymph nodes are inflamed and painful on palpation. Inflammation of the lymph nodes occurs 5 to 7 days after recovery.
In young children, intestinal disorders occur. And the younger the child, the greater the likelihood of intestinal symptoms - diarrhea, abdominal pain.
The symptoms of inflammation completely disappear by the 10th day from the onset of the disease. But in a blood test, the consequences of a disease can be detected within 2 weeks.
Atypical symptoms
Diagnosis is sometimes complicated by atypical symptoms. About 30% of patients have other symptoms of viral sore throat. With weak antiviral immunity:
- rashes of papules become wavy in nature and repeat after 3 days;
- signs of intoxication intensify - headache, muscle weakness, deterioration of well-being develop;
- the rash appears on the hands, feet and legs, trunk.
The disease can occur atypically in individuals with strong antiviral immunity. Rashes of vesicles in such cases are not observed, and an increase in temperature is accompanied by reddening of the throat.
Not always with strong immunity against viruses, a sore throat also appears. This complicates the diagnosis. Herpangina can occur in an erased form, reminding the symptoms of the catarrhal form of bacterial tonsillitis, which makes it difficult to choose the right treatment.
What is the difference between herpetic angina and purulent?
With herpetic tonsillitis, there is no pus in the vesicles, as with purulent bacterial tonsillitis. With bacterial infection, inflammation is localized in the tonsils, and enterovirus affects the mucosa over a larger area.
With herpanginitis, inflammation extends to the pharyngeal ring, palatine arches, and the palate. The patient’s complaints about pain when swallowing look different:
- with herpangin, when swallowing, a burning sensation appears;
- with bacterial damage to the tonsils - a feeling of coma, constriction in the throat.
How is herpetic angina different from herpes stomatitis?
Herpangina and herpes stomatitis are caused by different pathogens:
- herpetic sore throat - by the coxsacki enterovirus;
- herpes stomatitis - a human herpes virus.
Differences between herpangins and vesicular stomatitis
Herpetic tonsillitis, like vesicular stomatitis, is caused by enterovirus infection in children, but differs in symptoms and treatment. Vesicular stomatitis is manifested by rashes on the oral mucosa, the appearance of papules, which then turn into vesicles, on the palms of the hands and soles of the feet.
This distribution of rashes is called hand-foot-mouth syndrome. Rashes of the arm-leg-and-mouth type with viral stomatitis are observed from the first day of the disease, and with herpetic tonsillitis in the first days, a rash may appear only in the pharynx of the throat.
Diagnostics
Herpetic tonsillitis is diagnosed with:
- general blood test;
- fluorescence diagnostics to determine the type of virus;
- serological studies to detect antibodies to the virus in the blood;
- polymerase chain reactions to determine the RNA of the pathogen.
A slight increase in white blood cells, a shift in the leukocyte formula to the left, and a slight increase in ESR are noted in the blood.
Treatment of herpes tonsillitis
Enterovirus infection in adults with strong immunity does not require special treatment and resolves independently. Symptoms of herpangins persist in both children and adults for 7-8 days, and it is impossible to accelerate treatment. Those around can only weaken the manifestations of the action of the virus:
- lower the temperature;
- soothe pain and sore throat;
- reduce redness and inflammation in the throat.
Treatment of herpangins in children
The child needs treatment, but not with antibiotics, as with bacterial tonsillitis. It is necessary to treat viral pharyngitis with means to strengthen the immune system and medications that eliminate the symptoms of herpes tonsillitis.
What can be treated in children with herpetic sore throat?
For the treatment of herpangins in children, they use:
- antiviral agents - Tsitovir, Cycloferon;
- antihistamines - Loratadin, Fenkarol, Diazolin;
- aerosols with analgesic and antiseptic effects - Hexoral, Ingalipt, Tantum Verde;
- antipyretic drugs - Paracetamol, Nimesulide;
- antiseptics for rinsing - Miramistin, Furacilin;
- home remedies for the treatment of the pharynx of the pharynx - a weak saline solution with a drop of iodine, a pink solution of potassium permanganate.
For sore throat, babies can be treated with chewing lozenges, Dr. Mom, Trachisan, Strepsils.
How to bring down the temperature of the child?
It is better for a child under 3 years old to bring down the temperature, using not cefec or syrup, but rectal suppositories Cefecon, Viburkol. It is necessary to lower the temperature after the mark on the thermometer rises to 38.5 0 C.
Can inhalations be given with herpanginum?
With herpanginum, moisturizing inhalations and any other procedures that enhance blood circulation in the neck are contraindicated. You can not put warming compresses, rubbing your shoulders and chest with warming ointments and rubbing.
Increased blood flow caused by warming will accelerate the spread of enterovirus and increase the risk of damage to other organs.
What physiotherapy can be done?
From herpetic sore throat, throat treatment is prescribed:
- UV radiation;
- helium-neon laser.
Glow with a laser and ultraviolet inhibits the spread of the virus and accelerates the restoration of erosion of the mucous membrane.
Can herpetic sore throat be treated with antibiotics?
An antibiotic is prescribed for complications of herpetic sore throat with a bacterial infection. With the appearance of symptoms of tracheitis, bronchitis against the background of herpangins, treatment with Augmentin, Azithromycin, Cefazolin is prescribed.
The treatment of complications of herpangins may require the administration of several antibiotics in the form of tablets or injections.
Is it helpful to lubricate sores in the mouth?
It is not safe to treat a child in this way, since it is impossible to ensure complete sterility of gauze and hands at home. This procedure is dangerous for the risk of additional infection with other types of bacteria and viruses.
How to spit the throat with herpetic sore throat?
From 3 years old, bactericidal aerosols for spraying the throat are used for treatment. It is safer to treat herpangin with a spray than to lubricate sores with antiseptic solutions.
Treatment with Yoks spray, Oracept, Ingalipt disinfects the mucous membrane, anesthetizes, eliminates the symptoms of irritation, inflammation and prevents re-infection with an infection of a bacterial or viral nature.
Prevention
Precautions are especially important for children under 10 years old and pregnant women. Rarely, but herpangin can cause complications in the fetus.
And infection with the virus in late pregnancy can provoke premature birth. The best way of prevention for pregnant women is to refuse to attend mass events, adherence to diet, work and rest.
Is there a vaccine for herpetic sore throat?
There is no vaccine for the prevention of herpes tonsillitis. As a prophylaxis, gamma globulin is administered to all children in contact with a Coxsackie virus carrier.
How to increase the antiviral activity of the immune system?
To increase antiviral immunity, a doctor may prescribe treatment with immunomodulators:
- Immunal, Imudon;
- by candlelight - babies can be treated with Viferon rectally.
How to feed a baby with herpetic sore throat?
When herpanginom observe table number 13 according to Pevzner. Food should not be spicy, very salty or acidic. Do not give too hot and cold dishes. You need to feed a little boiled or stewed food.
Fatty foods, carbonated drinks, fried foods are not given to the patient. You can’t try to feed the baby by force. Forced feeding can lead to vomiting and increase dehydration.
But you need to give your child a warm drink often. They do not cause irritation, have anti-inflammatory effect infusions of chamomile, linden flowers, a decoction of rose hips.
Complications of herpetic sore throat
Rarely, enterovirus causes complications. Herpetic tonsillitis can be complicated by diseases:
- heart muscle - myocarditis;
- nervous tissue - encephalitis, meningitis;
- hemorrhagic conjunctivitis;
- inflammation of the kidneys - pyelonephritis.
What are the signs of herpangin complication in children?
Complications in the treatment of herpangins in children are manifested by damage to several organs. In such cases, a serious condition, the appearance of seizures is possible.
A sign of approaching seizures against a background of high temperature are:
- redness of the face;
- cyanosis of the lips;
- lip twitching;
- speech impairment;
- child fading;
- forced extensor posture;
- throwing back the head.
If the child has symptoms of worsening with viral tonsillitis, the baby needs to be seated so that he can not hit with a sudden fall, and immediately call for medical help.
Is it possible to die from herpetic sore throat?
Fatal outcomes in the treatment of herpetic sore throat are possible in children with complications of meningitis. The probability of death from meningitis caused by herpes tonsillitis is higher in children under 5 years old.
How long does quarantine last for herpanginum?
To prevent the spread of herpetic tonsillitis in the form of an epidemic, a sick child observes quarantine for 2 weeks. Those in contact with the patient must carefully follow the rules of personal hygiene, wash their hands more often.
The prognosis of herpetic sore throat is favorable. A worsening prognosis is noted with complications of herpangins with meningitis.
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