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Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case)
- Source :
- Žurnal Infektologii, Vol 13, Iss 1, Pp 124-129 (2021)
- Publication Year :
- 2021
- Publisher :
- Journal Infectology, 2021.
-
Abstract
- In the presented clinical case, the combination of two pathogens (enterovirus and streptococcus) caused a severe and atypical course of the hand-foot-mouth syndrome in a child of primary school age. EVI from the first days of the disease represented by the typical localization of the primary elements of the rash and the characteristic intoxication syndrome was confirmed by the detection of enterovirus RNA in the feces. The course of the disease was undulating. In the first wave, skin rashes accompanied by soreness and itching corresponded to the classical EVI in terms of the nature of the elements, their localization and were combined with lesions of the epithelium of the oral mucosa. Starting from the 5th day of the disease, against the background of an increase in the severity of intoxication syndrome, bullous elements appeared on the skin of the extremities, an excess of the permissible values of antistreptolysin-O was found 12 times, and when sowing material from cracks in the corner of the mouth, Streptococcus pyogenes 106 KUO was isolated, which indicated a combination of the syndrome Hand-foot-mouth with streptococcal infection. Onychomadesis in the period of convalescence retrospectively testified to the dominant role of enterovirus in the presented clinical case.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
media_common.quotation_subject
030106 microbiology
Infectious and parasitic diseases
RC109-216
medicine.disease_cause
Onychomadesis
03 medical and health sciences
0302 clinical medicine
children
hand, foot, and mouth disease
medicine
streptococcal infection
030212 general & internal medicine
Oral mucosa
media_common
Streptococcus
business.industry
Convalescence
Dermatology
Rash
Infectious Diseases
medicine.anatomical_structure
Streptococcus pyogenes
Enterovirus
Itching
enterovirus infections
medicine.symptom
business
Subjects
Details
- Language :
- Russian
- ISSN :
- 20726732
- Volume :
- 13
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Žurnal Infektologii
- Accession number :
- edsair.doi.dedup.....9ce0847b9d79bf6eb2e57835ed9e446a