Vesicular stomatitis in a child does not pass for a long time. Enterovirus vesicular stomatitis - photos, symptoms, treatment

Acute contagious disease characterized by fever, the formation of papules and vesicles on the mucous membrane. Susceptible horse, cattle, pigs, as well as people whose disease occurs with symptoms resembling flu symptoms. Completed in the countries of the American continent (Colombia, Costa Rica, Ecuador, Mexico, Peru, Nicaragua, etc.), Africa and South Asia.

Causative agent. The virus applies to the family Rabdoviridae., has a pulver form, diameter - 70-175 nm; Contains single-spin RNA. Rodid subunits are attached to nucleic acid threads, which rolled into a spiral. The spiral nucleocapsid is concluded in the shell, on the surface of which there are characteristic villi. The outer shell of virions contains cell phospholipids.

Sustainability. Well persists in frozen and lyophilized states; In infected feeders - 3-4 days, in garden land - up to 30 days. Temperature 100 0 C and 2% Sodium hydroxide solution kill it instantly.

Cultivation. It is well cultivated in 7-8 daily chicken embryos on the chorion-allantic shell at 35 0 s (causes necrotic changes), as well as on the sickens of 7-10 daily-age saucers with intracerene and intra-abrad. The virus can be cultivated in the primary cultures of chicken embryo fibroblasts, in kidney cells of guinea pigs, cattle, pigs with the development of cytopathogenic action. All types of vesicular stomatitis virus are reproduced in flushed flies.

Antigenic properties. Four antigen of various types of virus (New Jersey, Indiana, Coral and Kern-Canyon) differ in the neutralization reaction and immunologically in the experiments of cross-infection. However, in RCK, viruses give cross-reactions, which indicates the presence of a common antigen. The virus causes an education in the body of animals of viral substralizing, complement-binding, precipitating and antihymagglutinating antibodies. It has an antihymagglutinating property of erythrocytes geese.

Vesicular stomatitis virus causes an acute infectious disease with the formation of papules and vesicles on the mucous membrane of the oral cavity, the nipple with the nipples. Bunny and interspergery gap.

Epizosological data. Vesicular stomatitis proceeds in the form of sporadic cases and less often epizotium, strikes from 5 to 90% of animals. More often his cattle, horses, mules and less often - pigs. The source of the causative agent is a sick animal.

Pathogenesis and predicted diagnostics. Animals are infected while taking feed, water and saliva infected patients with animals. Some bloodsowing insects are promoted by the rejection of animals: blindfold, mosquitoes, etc. believe that wild rats are involved in the circulation of the virus. The incubation period is from 2 to 5 days. The first clinical signs of the disease are the red spots on the mucous membrane of the cheeks, lips, on a solid and soft nose and especially language. Then single or multiple painful bubbles, filled with transparent or yellowish-colored serous fluid, which, merging, form red bubbles. Bubbles quickly burst and form erosion, ulcers that are covered with epithelium after 3-7 days. Before forming or during their appearance, the animals are strongly oppressed, the body temperature rises to 41-42 0 C. When the oral cavity is damaged, abundant salivation occurs. In horses, Vezikuli may appear on the skin of the wings of the nose, ears, the lower abdomen and the cooler whims, in cattle - on the nose mirror, the nipples of the udder and in the interspergeous slit, in pigs - on the limbs.

Family diagnostics.The first changes are observed in the depths of the spike-shaped layer of the epidermis, then in the basal and grain layers. With the propagation of the pathological process, the cytoplasm layer around the core of the cell is reduced: the cells acquire the type of large lymphoblasts. In deeper layers of skin, swelling and inflammatory processes with infiltration of neutrophil elements are noted.

Laboratory diagnostics. The diagnosis is made on the basis of epizootological, clinical data confirming the results of laboratory studies.

Pathological material: saliva, the contents of Vezikul.

Laboratory diagnostics scheme.

I. Express methods have not been developed.

II. Virological studies: 1) Isolation of the virus in cell culture, on CE, guinea pigs and mice; 2) identification of the selected virus in RSK, pH, reef.

III. Retrospective diagnostics: RSK, pH.

Differential diagnosis. It is necessary to exclude the Lush and Vesicular Pigs Expension.

The study period is up to 10 days.

Immunity. Passing animals acquire persistent immunity only against a certain type of virus for 6-12 months.

Treatment. Symptomatic.

Specific prophylaxis. Apply a vaccine from an inactivated virus with a crystal or  propiolaton. The duration of complete immunity is 1 month and incomplete - up to 3 months. After the secondary vaccination, the immunizing effect of the vaccine is enhanced.

Veterinary and sanitary assessment and event.The corpses of animals are subject to recycling on plants for the production of meat-point flour or in their absence, in biothermal pits.

The meat and meat products from forcedly killed, patients and suspicious animals are referred to a coach, after which they use without limitation.

Milk, obtained from animal disadvantaged farms, is subjected to pasteurization at a temperature of 76 0 s for 15-20 s. If dairy plants, separator or milk receiving points are not equipped with pasteurization plants with centrifugal dairy, the milk incorporates on them subjected to mandatory pasteurization at a temperature of 85 0 s for 30 minutes or boiling for 5 minutes.

For disinfection, 2% hot solution of caustic soda is used.

Clothes are disinfected in a steamformal chamber. Manure is subject to disinfection by a biotermic way.

Vesicular stomatitis is an acute infectious disease that occurs under the influence of insidious. When it penetrates into the human body, the mucous membranes of the oral cavity, nasopharynx, and sometimes skin cover and legs with the appearance of ulcerative rashes or so-called vesicles.

This disease is transmitted to a person from, mosquitoes and farm animals, including from harvested cattle. Therefore, workers of farms and laboratories in direct contact with infected animals fall into a greater extent to the risk group. In geographical prevalence, vesicular stomatitis prevails in China, India, the USA, Asian countries and some European countries. As a rule, the infection of the disease occurs during the hot season during the humid climate.

Causes of occurrence
The RNC-containing virus or insulator refers to the genus Vesiculorus and is included in the family of zoonotic diseases Rabdoviridae. Infection of vesicular stomatitis occurs during physical contact, for example, a daughter, bottom and cleaning of the infected animal, or through insects carrying infection, such as Phlebotomus mosquitoes and mosquitoes of AEDES. As mentioned earlier, the greatest probability of infection with the workers of the agricultural industry (veterinarians, zoologists, laboratory technicians), as well as personnel of various zoological parks and natural reserves dealing with the care and service of infectious animals.

Symptoms of vesicular stomatitis

Most of the cases of infection of Vesicular Stomatitis are recorded in this summer, when hot weather predominates, as a result of which numerous pedigrees of infections are activated.

The symptoms of this disease is clearly manifested after rash on the mucous membranes of the oral cavity (nose, gums, language, lips) of painful formations or vesicles. They are small ulcerative bubbles filled with liquid. Similar formations can perform on the surface of the legs, hands and buttocks. The incubation period of vesicular stomatitis ranges from 5 to 6 days. The sick person can feel chills, and headache. In most cases, the disease is accompanied by an increased body temperature, rhinestone, muscle pain, painful sensations in the throat. Therefore, this disease in their symptoms resembles a cold.

Treatment of vesicular stomatitis

In case of disease, mucous membranes, both the oral cavity and other skin cover of the body of the body of the body, are affected by vesicular stomatitis. Therefore, in the treatment of the disease, complex methods of therapy are applied, including:

- The use of antiviral group preparations. First of all, they include oxolin, tebrofen and riodoxola ointment. The complex with antiviral drugs is prescribed treatment with drugs of the hormonal group. Their acceptance is possible only with the permission of the attending physician;

- The use of antiherpeutic drugs, such as "" and its varieties of "Famciclovir", "Valacyclovir" and "Penciclovir". These drugs are produced in the form of ointments and tablets;

- rinse of the struck shells of the oral cavity solutions of antiseptic drugs ("Supratin", "Pipolfen");

- reception of medicines that ensure the strengthening of the immune system during illness;

- Compliance with personal hygiene rules.

A little from statistics

As shown figures from official sources, the disease under consideration most often supported employees of veterinary institutions and laboratories dealing with the identification, treatment and work with infected animals. According to statistical data, 75% of employees of these professions have suffered vesicular stomatitis. However, the spread of infection is possible even in small farms in contact with cattle.

Enterovirus Vesicular Stomatitis in children

In a group of risk of infection by enterovirus vesicular stomatitis (ECU), adults are practically not included. They can infect small children. First of all, these are kids with a weakened immune system that have suffered sharp respiratory diseases. The causative agent of this disease is the cokesacks of the A-16 virus (5,9,10) B1 and B3 - and enterovirus 71). All of them belong to the genus and are transmitted by air-drip, as well as fecal-oral way. It is worth noting that this disease does not apply through animals. In common, ECS is called the syndrome of the "Hand-Noga-Roth" syndrome. This is due to the localization zone of peptic formations.

The symptoms of the "childish" EVC are similar to conventional vesicular stomatitis: elevated temperature (fever), irritability, apathy, weakness, and decreased appetite. But unlike the vesicular stomatitis, the "children's" ECU does not require special treatment and, subject to certain rules, personal hygiene itself passes after 7-10 days. The only thing to make parents is to exclude the conversion of a child with other infected children and, of course, consult a doctor to a children's clinic that will conduct the necessary diagnosis and prescribe appropriate treatment.

In children, otherwise referred to as a very interesting name - Hand-kick syndrome. The beginning of the disease and its initial course on symptoms is very similar to ORVI. However, when rash is joined to the general picture, it is necessary to accurately diagnose and conduct differential diagnostics. In most cases, stomatitis is favorable. It can be held even without treatment. However, sometimes kids with a weakened immunity can develop dangerous complications.

The disease is very contagious. The range of victims mainly includes children of pre-school and younger school age. However, if the baby fell ill, the likelihood of what all other family members will be brought. Adults are sick much easier, quite often are asymptomatic carriers. After recovery, persistent lifelong immunity remains. Seasonal outbreaks come on a spring-summer period. Pathways:

• enterovirus infection of coxaki A and B;
• enterovirus 71 type.

Viruses are enough rack to the environment. They die during boiling, processing chlorine-containing drugs, manganese, ultraviolet radiation. In the room under normal conditions, they retain their livelihoods up to 14 days. The infection is transmitted by several paths:

1. The method of transmission from a person - a person has a fecal-oral and air-drip mechanism. Pathology is very quickly transmitted from the fallen crumbs to all other kids in the kindergarten group. Since the initial clinical picture is very similar to the typical manifestation of ARVI, many parents continue to drive guys in children's teams. Small fidgets are ill during communication, with coughing and sneezing.

In the collectives, vesicular stomatitis is transmitted when using common towels, kitchenware, linen. Be sure to learn kids that before meals, you need to thoroughly wash your hands with soap. Everyone in the family should have their own towel, dishes.

1. From dirty products infection occurs quite often. Inventible microorganisms accumulated on fruits and vegetables. They are able to cause a disease. Therefore, all foods should be hygienic and, if necessary, heat treatment.
2. Sources of infection may be contained in poor-quality drinking water.
3. The disease is transmitted from bloodsowing insects and sick animals. The transfer occurs when mosquito bite, midges, fleas, whipping. The risk group includes workers with a zooferm, a farmland.

Pathology has three stages:

• Hidden incubation period. This time from the moment of penetration of the virus to the kid's body before the appearance of the first symptoms. In most cases, this stage takes 4 to 7 days;
• The initial period lasts about from 24 to 50 hours. It is accompanied by the advent of the first symptoms. In general, they are very similar to ORVI. Even an experienced pediatrician is sometimes not able at this stage, put the correct diagnosis;
• The period of wrappings begins with 2, less often with 4 days of the disease and lasts about 7 days. At this stage, pathology is differentiated with well-known children's reels: measles, rubella, windmill. When confirming the diagnosis, quarantine must be imposed on the children's team. The room and toys in the group are subject to mandatory hygienic processing;
• After 7-10 days, the symptoms subside, the rash disappears, the phase of recovery occurs. At this moment, the skin can start closing, nail plates peel. In the future, skin covers are updated, the nails grow, traces and scars do not remain.

In most cases, healthy guys with good immunity, the disease flows hidden or with a superficial flow. Only weakened kids, pathology can be complicated by meningitis, encephalitis, parares.

With enterovirus vesicular stomatitis in children allocate the following symptoms:

1. Reduced overall well-being. Kids become capricious, plastic. Some senses and irritable.
2. Pain and throat, runny nose, sneezing.
3. Increase salivation, dryness of the mucous, unpleasant smell of mouth.
4. The mucous membrane is hyperemic, painful. A small bleeding may appear from the gums.
5. The crumbs complain about head, muscle pain, concern, refuse food.
6. Some kids may have a gastrointestinal disorders: diarrhea, bloating, belching, nausea, vomiting.
7. When palpation there is an increase in lymph nodes.
8. In most cases, the body temperature rises. Frewell extinguishing. It reaches high numbers, poorly shot by antipyretic drugs.
9. On 2, rash appears for less often. Small bubbles are localized in the oral cavity. They burst and small painful ulcers are formed in their place. Externally manifestations are quite similar to herpes infection. During this period, enterovirus vesicular stomatitis may complicate the appearance of Exanthem. In this case, rashes appear throughout the body. They affect legs, hands, face, belly, in rare cases - buttocks. A feature of the flow is a rash that appears in the footsteps and palms.

With the appearance of rashes, almost all parents cause pediatricians to the house and come completely correctly. Despite the fact that the guys in most cases are well tolerated the disease, they must be under the close observation of specialists. When complications appear, it is necessary to immediately send crocha to the hospital.

Currently, there is no specific treatment at a given disease. That is why it is necessary to carry out symptomatic treatment. Therapy is to increase the immune protective forces, the use of antiseptic and wound-healing drugs.

Enterovirus Vesicular Stomatitis with Exandtema Treatment:

• Dietherapy. It is based on the lungs gentle stomach dishes that have been thermal processing. Useful to use cereal, non-acidic fruits, kisins, dairy products, lean meat. In the diet, there must be completely absent sweet, acidic, salty, sharp dishes. Food should be supplied in warm form, pre-alternately on the blender. After eating, you need to rinse your mouth.
• Be sure to follow the amount of liquid consumed. The child should get clean water, non-acidic compotes, faint tea;
• With an increase in temperature above 38. 5 ° C, it is necessary to give an antipyretic drug. The drugs of this group include: Nurofen, Cefecon, Calpol, Panadol, Ibufen. With a minor fever, you should not apply antipyretic agents. The temperature is a protective mechanism, is a sign of the body's struggle with a virus.
• Strong pain violates the sleep and life of the baby. He becomes sluggish, capricious. In order to slightly reduce unpleasant symptoms, it is allowed to apply the following drugs: Lidocaine-Asepta and Camistad.

Lidocaine-asept is produced as a spray. Contraindication to use are: pronounced diseases of the heart, liver, convulsions, myasthenia, individual tolerance.
For children up to 2 years, the drug is applied to the napkin and lubricate the affected area.
Lidocaine - Asepta has a good painkiller and antiseptic effect.

Camistad gel in its composition contains lidocaine and chamomile color infusion. The medicine has a pronounced painkillers, antimicrobial, antiseptic effect. It is not necessary to lubricate the drug of ulcers, since healing in this case will occur more than. After applying the drug, salivation increases. Babies gel are used carefully, since there is a risk of slaving;

• In order to relieve inflammation and accelerate healing, antiseptic preparations are used. These include solutions: Chlorgeksqdin, Miramistin, Furacilin. Folk remedies come to the rescue: decoction of daisies, burdock, linden, hunter, yarrow. Solutions spend rinsing every 2 - 3 hours;
• Wound-healing and regenerating drugs are used in parallel with anti-inflammatory therapy: Dental metrged, holisal, propolis - spray, carotoline;
• Antiviral tools are used to successfully deal with enterovirus vesicular stomatitis. For treatment, use: oxolin and tebrophen oxis;
• Local immunomodulators for mucous membranes will help to cope with the infectious process faster. Imudon's lollipops have a very good effect and recommended for disease therapy;
• Antihistamines are used in stomatitis, with severe swelling and itching. These include: Supratin, Phenistil, Zirtek;
• The antiviral and stimulating agents include Viferon. It is produced in the form of rectal candles and is suitable for use even in newborns.

To treat the crumb should a doctor. It is he who observes the course of the disease, if necessary, must resolve the issue of transferring the baby to the clinic.

Prevention measures

In order to protect yourself from enterovirus stomatitis, it is necessary to comply with the requirements of general hygiene, raise immunity with hardening and diet-andotherapy. Be sure to sign the foci of chronic ENT infections and oral cavities.
In summer, use repellents. Do not allow the guys to communicate with the aburred animals on the street.

The mucous membrane of the mouth can be called a peculiar magnet, which attracts various kinds of pathogens.

It is through the oral cavity to the body penetrate various diseases. Vesicular stomatitis is no exception.

This pathology, although it seems harmless, is quite dangerous for patients with low immune protection.

What is the disease

The pathology under consideration is more commonly found called "Hands - Legs - Roth." It is an infectious process provoking in the mouth of the ulcers, and on hand and legs - small acne.

The disease is often found in young children, but adults may face vesicular stomatitis.

Vesicular stomatitis virus is extremely infectious. Therefore, if pathology manifested itself in a child, then, most likely, all other family members will arise.

An adult man transfers the disease easier and remains his asymptomatic carrier. People who have sought vesicular stomatitis have immunity.

The causative agents of the form of stomatitis are considered to be enterovirus infection of cokes A and B and enterovirus 71 of the type.

The virus is pretty resistant, dies only during boiling, processing with chlorine, mangartee or UV - rays. In closed rooms, it can maintain activity about two weeks.

How pathology is manifested

Enterovirus stomatitis looks like bubbles or vesicles with ulcers. The rash is localized on lips, cheeks, palms, feet or stomach. Bubbles can be red, pink or transparent. Size they are small.

When vesicles are bursting, erosion is formed in their place. After a few days, these wounds are covered with a crust and gradually decrease in size.

The scars after such phenomena remain very rare. It is noteworthy that on the palms and soles of vesicles are not opened.

The launched shape of vesicular stomatitis provokes the appearance of an eczema in the oral cavity and ulcers by body.

The rashes can be gray and have light shades. This suggests that Stomatitis was complicated by Exanthem.

Why pathology occurs

Most of the risk of infection are subject to preschool children. Adults are sick less often, which you can not say about rural residents who keep domestic cattle.

Vesicular stomatitis virus is transmitted to a man with air-drip, contact and fecal - oral paths.

There are several other factors that can provoke the appearance of vesicular stomatitis. They are as follows:

1. Bad hands hygiene.
2. Eating unwashed fruits and vegetables.
3. Contact with infection carriers.
4. Sneezing patient with stomatitis.
5. Bends mosquitoes.
6. Contact with domestic cattle and indoor or wild animals.
7. Use unwashed dishes or meals in the canteens.
8. Use of someone else's bed linen, towels and things.

Flashing pathology are observed in the autumn period. It is noteworthy that a lost person is produced by a lifelong immunity to the virus, but if he has become infected with another strain of the virus, then vesicular stomatitis will be diagnosed again.

Stages of proceeding pathology

The disease under consideration occurs in three stages. They are as follows:

1. The hidden or incubation period is the deadline for the moment when the virus strain fell into the body, until the first signs of illness occur. Usually, it does not last longer than the week.
2. The initial period is the appearance of symptoms similar to ARVI. Lasts from 24 to 48 hours. Even at this stage, doctors rarely have an accurate diagnosis.
3. The height - at this time stomatitis needs to be distinguished from measles, windmills and rubella. This should be done with 2 or 4 days of the manifestation of pathology. At this stage, quarantine must be introduced, and process items.
4. Flowing - Signs of the disease go for 7-10 days. The patient recovers when the rash completely disappears. At this stage there is a peeling of the skin and peeling the nails. After some time the body is restored, and the skin heals.

In people, the immunity of which is at the proper level, vesicular stomatitis can occur in a hidden form.

But in children, the body of which is weakened, the disease is often complicated by meningitis, paresium or encephalitis.

Symptoms of pathology

Vesicular stomatitis virus makes itself felt not immediately. Initially, a person is in the incubation period, and the rash appears only on 2-3 days of the disease.

First, the rash looks like a pink or red spot of the oblong shape. Then it is reborn into vesicles - peculiar bubbles with transparent or yellow liquid.

More often they arise in the mouth, then go to arms, belly, legs and back. When vesicles burst, erosions are formed in their place, which immediately heal and leave scars.

In addition, there are several other parameters indicating the development of vesicular stomatitis. They are as follows:

1. Level temperature up to high indicators.
2. Pain in the head.
3. Nausea.
4. Painful sensations in the stomach.
5. Stool violation.
6. Rubble.
7. Sore throat.
8. Lomotics in the muscles and joints.

These symptoms can confuse a doctor, for them are often confused with the manifestation of influenza, Orz and herpes.

How to diagnose the disease

The patient is most dangerous for others in the first few days, then the danger slowly falls.

If a person has bubbles on their hands on the third day, the doctor can safely diagnose the disease.

During the diagnosis, it is very important to take into account the duration of the incubation period, which can continue from 3 days before the week.

To form an accurate diagnosis or during massive outbreaks of the epidemic in infecting many children, in order to clarify the scheme of anti-epidemic activities, it is customary to use certain variants of laboratory studies. They are as follows:

1. Electronic type microscopy.
2. Immuno enzyme diagnostics.
3. Radioimmune analysis.
4. Conducting a polymerase chain reaction.

The material for study is the liquid from vesicles, feces, blood and washed from the nasopharynx.

How to treat pathological condition

Conduct the therapy of the considered disease is taken outpatient. This is due to the fact that the infected patient needs to be isolated from healthy people, for Stomatitis is always transmitted from man to man.

Medical therapy

When diagnosing the disease, the doctor must prescribe a comprehensive treatment based on the reception of the following groups of drugs:

1. Antigerpetic agent - ointment or pills that fight the virus inside Vezikul. This includes acyclovir, valacyclovir and penciclovir.
2. Immunostimulating agent - a drug with which you can strengthen the efficiency of antiviral medication and stimulate the work of the patient's immune system. These drugs include Imudon and Amixin.
3. Symptomatic agents - preparations that will help lower body temperature and remove pain symptom: ibuprofen, paracetamol.
4. Local anesthetics - means that killing malicious bacteria, calm the lesions and pain relieve them. This includes hexoral, couch and lidocaine.
5. Vitamins helping to raise the body's immune defense to the proper level. They should be drunk at least 21 days.
6. Antiviral remedy - a drug that struggles with the virus itself. This group of drugs belongs to Miramistin, propolis in the spray and gel Viferon.

Enterovirus Vesicular Stomatitis, complicated by Exanthem, will not deliver strong discomfort only if a person contact a specialist in a timely manner, and will comply with all his prescriptions.

To avoid pathology, it is worthwhile to wash your hands and support immunity.

Treatment with folk drugs

For a long time, official medicine has recognized the effectiveness of folk remedies in the fight against stomatitis.

Various infusions and decoctions are able to contribute to the rapid healing of erosion and disinfect the affected areas of mucous membranes.

In folk medicine, it is customary to use decoctions, remedies for riding the oral cavity and skin treatment with erosion. It should be considered in more detail:

1. Sea salt. It is worth take 1 tablespoon of salt, mix with 300 milliliters of water and rinse with such a mouth with such a solution about 2 times a day. The remedy should be preheated to room temperature.
2. Sage in a complex with chamomile. To prepare a healing preparation, you should take a spoonful of chamomile and sage, mix, separate the spoon of raw materials and add a glass of boiling water to it. The tool insists 30 minutes, filter and used as a solution for rinsing the mouth. Rinse itself is recommended no less than 2 times a day.
3. Oregano 4 tablespoons of plants are poured with 400 milliliters of boiling water, leave alone for half an hour, constricted and put the mouth.
4. St. John's wort For the preparation of infusion, 20 grams of grass should be pledged with 100 milliliters of boiling water, disappear on a steam bath for 15 minutes, insist 30 minutes, strain and rinse your mouth. Repeat actions about 3 times a day.
5. The sea buckthorn oil is ideal for lubricating vesicles, which are in the mouth or all over the body. Such a means copes well with erosions and ulcers, contributing to their rapid healing.
6. Green tea is taken to apply on the affected skin. Such procedures help skin to recover faster.

In addition, folk healers are very praised by a special collection, designed to strengthen the body's immune system.

For its preparation, an equal number of calendula and mint should be taken, pour boiling water and breed about 1 hour. Drink a tool of 100 milliliters 2 times a day.

What is dangerous vesicular stomatitis

Complications of enterovirus vesicular stomatitis are often observed in young children, old people and people whose immunity is strongly reduced.

There are several fairly dangerous pathologies that may be provoked by the launched forms of vesicular stomatitis. They are as follows:

1. Meningitis.
2. Inflammatory process on pulmonary pleura.
3. Valid type paresis.
4. Transition of inflammation on the heart shell.
5. Encephalitis.

That the patient has complications, indicates characteristic symptoms. It should be considered in more detail:

1. Increase body temperature.
2. Breathing problems, shortness of breath.
3. Unbearable headache, irradizing in the eye area.
4. Loss of orientation in space.
5. Separates of generalized type.
6. Elevated emotional excitability.
7. Dumping thinking.
8. Pain in the abdomen, limbs and backs.

If a person will notice the dangerous signs in a timely manner and turn to the doctor, then the vesicular stomatitis will quickly cure and will not provoke multiple complications.

Prevention of pathology

In order to avoid these symptoms and hazardous consequences, the patient is recommended to adhere to certain advice.

This is especially true when a person lives or spends a lot of time in places in dating pets and where there is an incorrect observance of sanitary standards.

Measures on the prevention of vesicular stomatitis are as follows:

1. Wash your hands regularly before each food intake and after visiting the toilet.
2. To ensure that children do not take anything superfluous in her mouth, did not eat dirty fruits and vegetables.
3. Do not nibble nails, pens and pencils.
4. Do not use other people's sheets, slippers, washcloths and cutlery.
5. Little children are recommended to poke fruits and vegetables or to give them boiling water.

All people should be remembered that patients of different ages carry stomatitis in different ways.

In an adult and fully healthy person, symptoms may not be absent, and the baby may have severe pain, fiscaliness and temperature increase.

Due to the fact that the children of strong antiviral medicines are contraindicated, vesicular stomatitis is easier to treat in an adult.

Enterovirus Vesicular Stomatitis is a variant of the Boston Exanthem. This disease is otherwise called an epidemic, covenotic, red-like, rose-appliances or infectious examination, as well as enterovirus with an examature fever and a "leg-mouth syndrome". Disease pathogen - Echo Group viruses (Enterovirus 71 and Coxica virus, A5, A16, A9). This infection is especially dangerous for those who have problems with immunity.

Causes of Enterovirus Vesicular Stomatitis

The main risk group by the disease is children under the three-year-old age, although adults (especially the rural population containing cattle in the farm, and farm employees) are also susceptible to infection. The disease is transmitted by air-drip, as well as fecal-oral and contact. That is, to infect enterovirus vesicular stomatitis in the following ways:

• dirty hands;
• eating unwashed vegetables and fruits;
• contacts with sick people - kisses, handshake, etc.;
• sneezing and cough face suffering from this disease;
• mosquito bites, as well as mosquitoes;
• contacts with agricultural animals, as well as indoor, stray and wild beasts;
• the use of dirty dishes (especially in public catering sites, because with a large number of visitors, the staff sometimes do not have time to wash the dishes to well);
• use of other people's bedding and clothing, as well as other personal things of patients.

Most often cases of the disease are marked in autumn. If a person once feared his leg-mouth syndrome, he had a lifelong immunity to the strain of a virus that struck the body, however, if a person faces other varieties of viruses in the future, the disease may repeat.

Symptoms and complications of enterovirus vesicular stomatitis

Symptoms and peculiarities of vesicular stomatitis are described in many medical directories. The disease is manifested in 0.5 - 1 week after the Vesicular Stomatitis virus got into the body, i.e. after infection. When the incubation period ends, a person begins to fever, nausea and tear. He feels tired and sluggish and often irritable (especially inherent in small children). Appetite disappears. Hands (palms), buttocks, legs (feet, soles) and the mouth of the disease covered colorless rashes with elements of Vesicul. Because of the rash, patients sometimes begin to be, because both in the children and adults begins the feeling of itching, and in adults it is sharper. Vesicular stomatitis in children usually proceeds much easier than adults. Very often, patients can see ulcers and blisters around the mouth or nose (the photo of characteristic blisters and ulcers can be found on the Internet), but they almost always pass through 1 - 1.5 weeks.

Usually, with a similar clinical picture (the photo of the patients can be found on the medical sites of the Internet) doctors immediately unmistakably diagnose the disease, because the symptoms are pronounced quite brightly, but if doubts appear, they insist on an ointment from the oral cavity to establish the causative agent of the disease.

Another feature of Vesicular Stomatitis is that not only people are sick, but also animals, especially small (sheep and goats) and cattle, as well as horses, and they are 80% of cases die from the disease, while people As a rule, survive, although they suffer from complications.

Complications of enterovirus vesicular stomatitis

Treatment of stomatitis, if he has arisen, be sure. Do not neglect them, because the disease is fraught with the following complications:

• encephalitis (inflammation of the brain);
• meningitis (inflammatory processes in brain shells);
• acute sluggish paresis (simply paralysis, i.e. will have to develop the limbs for a long time to restore their function).

The most dangerous situation occurs if the virus affects the brain and its shell. This situation already creates a serious threat to the patient's life.

Prevention of enterovirus vesicular stomatitis

As for the prevention of the disease, its basic principles are aimed at preventing the virus from entering the human body. This means that you need:

• wash your hands after each contact with animals, especially with unfamiliar (but also with your own, for example, after having a cow or goat);
• to carry closed clothes in the evenings in the summer and in the warm days of autumn, especially if there is a swamp and fly large quantities of mosquito near the place of residence or work of a person;
• wash your hands with soap after the toilet and after returning home from the street;
• use only moyful vegetables and fruits into food;
• carefully wash the dishes after each meal;
• use only personal bed linen, calculations and, moreover, the toothbrows (not allowing you to sleep on our claw, say, in the conditions of the campaign), follow the cleanliness of the hotel in hotels, to inform the staff if dirty bed linen is found and demanded replacement to clean;
• if the family already has a sick enterovirus vesicular stomatitis, it is isolated from others, so as not to be infected by the rest - "home arrest" in their room, personal plate and a cup, etc.

Of course, to completely eliminate the possibility of the disease, but the risk that the person will have enterovirus stomatitis, is significantly reduced. Moreover, it is better to prevent the disease than the treatment for which there will have to spend a lot of strength, time and nerves.

Treatment of enterovirus vesicular stomatitis

If the disease manifested itself, it will have to be treated from it. Treatment of the disease is usually nonspecific. If the person has identified enterovirus stomatitis with Exanthema, a sick child or an adult can, first, to contact Dentistist (dentist), which, most likely, will write interferon, secondly, this measure must be supplemented by the following admission:

• the affected places need to be lubricated with a green (its scientific name - a solution of the diamond greenery);
• the patient should take vitamins, since their lack significantly reduces immunity and can become an additional reason for Stomatitis (the vitamin complex is appointed a specialist, but special attention should be paid to vitamins A, C, as well as all Vitamins of the B);
• ensure that the diet ensures a person not only by all the necessary vitamins, but also iron, selenium and other necessary substances;
• adequate anesthesia, if ulcers and vesicles are very painful;
• drink a lot of fluid, as water displays from the body products of viruses of viruses.

In addition, if a person suffered enterovirus vesicular or any other stomatitis, you can use calendula and chamomile tinctures that reassure the skin and contribute to the healing of microtrase, ulcers, vesicul. Also, the treatment of enterovirus vesicular stomatitis (and it is mainly aimed at antiviral therapy, combined with symptomatic) is carried out with various ointments, creams. The oral cavity is sprayed with alcohol tinctures and shepherds of herbs or hydrogen peroxide. It is also good if there is a lot of garlic in the diet, since its juice contributes to the healing of ulcers and Vesicul. In some cases, doctors can assign drugs designed to combat allergies. The fact is that sometimes the causes of stomatitis may be combined.