Diagnosis and treatment of herpangina: Chinese expert consensus.

Authors :: Yu H
Li XW
Liu QB
Deng HL
Liu G
Jiang RM
Deng JK
Ye YZ
Hao JH
Chen YH
Nong GM
Shen ZB
Liu CS
Zou YX
Wu JZ
Wu XD
Chen BQ
Luo RP
Lin AW
Chen Y
Liu XD
Source :: World journal of pediatrics : WJP [World J Pediatr] 2020 Apr; Vol. 16 (2), pp. 129-134. Date of Electronic Publication: 2019 Jul 25.
Publication Year :: 2020
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.<br />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.<br />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.<br />Conclusion: The consensus could provide advices and references for the diagnosis, treatment and management of herpangina in children.