Echo virus infection B34.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Infection with echoviruses, especially in children and adolescents with unspecific exanthema.

Clinical features
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  • Prodromi: fever, nausea, headache.
  • Later: Aseptic meningitis and/or gastrointestinal disorders.
  • Optional: Rubeoliform, morbilliform or scarlatiniform, also urticarial, vesicular and petechial exanthema. Oral mucosal changes as in herpangina.

Diagnosis
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Virus isolation from throat wash and stool, antibody titre increase.

Complication(s)
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STAR complex with recurrent arthritis, fever attacks, sore throat and recurrent maculo-papular exanthema for months

External therapy
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If necessary, blank external preparations such as Ungt. emulsif. aq. or 5% dexpanthenol cream(e.g. R064, Bepanthen cream) or cooling lotio alba with the addition of 2% polidocanol R200 or 1% menthol solution may be useful for itching. Alternatively urea/polidocanol combinations (e.g. Optiderm).

Internal therapy
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For itching, non-sedative antihistamines such as doxylaminosuccinate(e.g. mereprine syrup 1-2 times/day 1 teaspoon per day for infants from 6 months) or antihistamines with sedative effect such as dimetinden (e.g. Fenistil drops 3 times/day 10-15 trp. per day for children 1-8 years or 3 times/day 20 trp. for children > 9 years).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020