Echo virus infectionB34.1
DefinitionThis section has been translated automatically.
Infection with echoviruses, especially in children and adolescents with unspecific exanthema.
Clinical featuresThis section has been translated automatically.
- 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.
DiagnosisThis section has been translated automatically.
Virus isolation from throat wash and stool, antibody titre increase.
Complication(s)This section has been translated automatically.
STAR complex with recurrent arthritis, fever attacks, sore throat and recurrent maculo-papular exanthema for months
External therapyThis section has been translated automatically.
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 therapyThis section has been translated automatically.
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).