Hui Yu1, Xing-Wang Li2, Quan-Bo Liu3, Hui-Ling Deng4, Gang Liu5, Rong-Meng Jiang2, Ji-Kui Deng6, Ying-Zi Ye7, Jian-Hua Hao8, Ying-Hu Chen9, Guang-Min Nong10, Zhao-Bo Shen11, Chang-Shan Liu12, Ying-Xue Zou13, Jin-Zhun Wu14, Xing-Dong Wu15, Bi-Quan Chen16, Ru-Ping Luo17, Ai-Wei Lin18, Yan Chen19, Xiao-Dong Liu2. 1. Department of Infectious Diseases, Children's Hospital of Fudan University, Shanghai, China. yuhui4756@sina.com. 2. Infectious Disease Diagnosis and Treatment Center, Beijing Ditan Hospital Capital Medical University, Beijing, China. 3. Department of Infectious Diseases, Children's Hospital of Chongqing Medical University, Chongqing, China. 4. Department of Infectious Diseases, The Children's Hospital of Xi'an, Xi'an, China. 5. Department of Infectious Diseases, Beijing Children's Hospital, Capital Medical University, Beijing, China. 6. Department of Infectious Diseases, Shenzhen Children's Hospital, Shenzhen, China. 7. Department of Infectious Diseases, Children's Hospital of Fudan University, Shanghai, China. 8. Department of Internal Medicine, Children's Hospital of Kaifeng City, Kaifeng, China. 9. Department of Infectious Diseases, The Children's Hospital-Zhejiang University School of Medicine, Hangzhou, China. 10. Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China. 11. Pneumology Department, Henan Children's Hospital, Henan, China. 12. Department of Pediatrics, The Second Hospital of Tianjin Medical University, Tianjin, China. 13. Department of Infectious Diseases, Tianjin Children's Hospital, Tianjin, China. 14. Department of Pediatric Pneumology, The First Affiliated Hospital of Xiamen University, Xiamen, China. 15. Department of Pediatrics, Xiamen Maternal and Child Health Care Hospital, Xiamen, China. 16. Department of Infectious Diseases, Anhui Provincial Children's Hospital, Hefei, China. 17. Department of Infectious Diseases, Hunan Children's Hospital, Hunan, China. 18. Department of Infectious Diseases, Qilu Children's Hospital of Shandong University, Shandong, China. 19. Department of Pediatrics Internal Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Abstract
BACKGROUND: Herpangina is a common infectious disease in childhood caused by an enterovirus. This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis. METHODS: The Subspecialty Group of Infectious Diseases, the Society of Pediatric, Chinese Medical Association and Nation Medical Quality Control Center for Infectious Diseases gathered 20 experts to develop the consensus, who are specialized in diagnosis and treatment of herpangina. RESULTS: The main pathogenic serotypes of herpangina include Coxsackievirus-A, Enterovirus-A and Echovirus. Its diagnosis can be rendered on the basis of history of epidemiology, typical symptoms, characteristic pharyngeal damage and virological tests. The treatment is mainly symptomatic, and incorporates topical oral spray with antiviral drugs. The course of herpangina generally lasts 4-6 days with a good prognosis. CONCLUSION: The consensus could provide advices and references for the diagnosis, treatment and management of herpangina in children.
BACKGROUND: Herpangina is a common infectious disease in childhood caused by an enterovirus. This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis. METHODS: The Subspecialty Group of Infectious Diseases, the Society of Pediatric, Chinese Medical Association and Nation Medical Quality Control Center for Infectious Diseases gathered 20 experts to develop the consensus, who are specialized in diagnosis and treatment of herpangina. RESULTS: The main pathogenic serotypes of herpangina include Coxsackievirus-A, Enterovirus-A and Echovirus. Its diagnosis can be rendered on the basis of history of epidemiology, typical symptoms, characteristic pharyngeal damage and virological tests. The treatment is mainly symptomatic, and incorporates topical oral spray with antiviral drugs. The course of herpangina generally lasts 4-6 days with a good prognosis. CONCLUSION: The consensus could provide advices and references for the diagnosis, treatment and management of herpangina in children.
Authors: Ming-Zhu Xie; Lin-Yi Chen; Yan-Na Yang; Yan Cui; Si-Hui Zhang; Tian-Shuo Zhao; Wan-Xue Zhang; Juan Du; Fu-Qiang Cui; Qing-Bin Lu Journal: Front Med (Lausanne) Date: 2022-04-25