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PEDIATRICS

COMPLICATIONS

Complications are very rare, but hepatitis or encephalitis can occur.

COXSACKIEA-16 VIRUS(HAND-FOOT-MOUTHDISEASE)

■ Peak U.S. incidence: Summer

■ Fecal-oral and respiratory transmission

■ Typically affects children <5 years of age

SYMPTOMS/EXAM

■ Fever

■ Painful vesicles/ulcers on tongue and palate

■ Vesicles on palms and soles

DIFFERENTIAL

Other viral infections: Varicella, herpes, herpangina (which is typically caused

by other serotypes of Coxsackie virus)

FIGURE 5.10. Roseola. (See also color insert.)

(Reproduced, with permission, from Shah BR, Lucchesi M. Atlas of Pediatric Emergency Medicine. New York: McGraw-Hill,

2006:137.)