is a common disease that is caused by Coxsackie and ECHO enteroviruses. The concept of herpes sore throat covers a considerable number of acute inflammatory diseases that manifest themselves on the palatine tonsils and are accompanied by the appearance of small vesicles containing a certain transparent liquid.
For herpetic sore throat, a pronounced seasonality is characteristic. Infection usually occurs by airborne droplets or fecal-oral route. When herpes sore throat occurs in children, the reasons in many cases lie in non-observance of basic principles of personal hygiene. That is, in order to get infected, it is enough for a child not to wash their hands in time. Also, herpes sore throat may be a concomitant disease against the background of the activation of adenovirus or influenza. Most often, herpes sore throat affects children with insufficiently strong immune systems.
Due to the fact that these rashes have a peculiar similarity with herpetic infections, this disease was given the name herpetic sore throat. Essentially, this disease is represented by a type of simple sore throat caused by a specific viral infection called Coxsackie. But it also has a certain number of features.
The presence of small ulcers surrounded by a ring of hyperemia on the mucous membranes will help to recognize herpes sore throat. The size of the bubbles is from 2 to 4 mm, they are transparent, with a grayish or white center. They can be located on the tonsils, soft palate, tongue. Sometimes they occur on the palms and feet. When the bubbles open, painful sensations appear.
The disease is transmitted from child to child in schools and preschool institutions. As for age, children from 3 to 10 years old most often suffer from herpes sore throat. However, a very small child, a teenager, and an adult can get sick.
Herpetic sore throat ICB code 10
Almost every disease is included in the international classification of diseases ICD-10. Herpetic sore throat was assigned the ICD-10 code - B00.2. This code refers to concepts such as herpetic pharyngotonsillitis and gingivostomatitis.
The latent period of infection is from 7 to 14 days. Herpetic sore throat in children begins with a flu-like syndrome: malaise, weakness, loss of appetite. Characterized by high fever (up to 39-40 C), pain in the muscles of the limbs, back, abdomen; headache, vomiting, diarrhea. Following the general symptoms, there is a sore throat, salivation , soreness when swallowing, coryza , cough.
With herpes sore throat in children, local changes rapidly increase. Already in the first two days, against the background of the hyperemic mucous membrane of the tonsils, palatine arches, uvula, palate, small papules are found in the oral cavity, which quickly turn into vesicles up to 5 mm in diameter, filled with serous contents. After 1-2 days, the vesicles break open, and whitish-gray sores are formed in their place, surrounded by a corolla of hyperemia. Sometimes ulcers unite, turning into superficial confluent defects. The resulting erosion of the mucous membrane is sharply painful, and therefore children refuse to eat and drink. With herpetic sore throat in children, bilateral submandibular, cervical and parotid lymphadenopathy is revealed .
Along with the typical forms of herpetic sore throat, children can have erased manifestations, characterized only by catarrhal changes in the oropharynx, without mucosal defects. In children with weakened immunity, rashes can recur in waves every 2-3 days, which is accompanied by a resumption of fever and symptoms of intoxication. In some cases, with herpetic sore throat, a child has a papular and vesicular rash on the distal extremities and trunk.
In typical cases, fever with herpes sore throat in children subsides after 3-5 days, and defects on the mucous membrane of the oral cavity and pharynx epithelize after 6-7 days. With a low reactivity of the body or a high degree of viremia, generalization of enetroviral infection is possible with the development of meningitis , encephalitis, myocarditis , pyelonephritis , hemorrhagic conjunctivitis .
The causative agents of this type of angina are Coxsackie enteroviruses of group A, less often of group B and echoviruses (ECHO). When they enter the lymph nodes, and then into the blood, the disease progresses rapidly. Angina is seasonal in nature and occurs mainly in the summer or early fall, when children go to kindergartens and schools. Infection can occur even if the child just walked past the sick person. Allergy sufferers, hypotrophics and those with weakened immunity are also at risk.
More often, the disease passes without dangerous consequences for the patient. But with weak immunity, especially in young children, the severe course of herpes sore throat can lead to serious complications caused by the spread of the virus to other organs:
serous meningitis heart pain, myocarditis pyelonephritis encephalitis conjunctivitis. To exclude the development of serous meningitis, you need to consult a neurologist, if you have heart complaints, you need to contact a pediatric cardiologist. In case of changes in the general analysis of urine, it is necessary to make an appointment with a pediatric nephrologist.
TWith competent and effective treatment of herpes sore throat, aggravated by meningitis, the prognosis is usually favorable. But at the same time, the treatment of the smallest patients requires careful attention. With myocarditis, the situation is more difficult. Any complications of herpetic sore throat require the intervention of specialists!
In a typical clinic of herpetic sore throat in children, a pediatrician or pediatric otolaryngologist can make the correct diagnosis even without additional laboratory examination. When examining the pharynx and pharyngoscopy , localization typical for herpetic sore throat (posterior pharyngeal wall, tonsils, soft palate) and the type of rash (vesicle papules, ulcers) are found. A general blood test reveals a slight leukocytosis.
To identify the causative agents of herpetic sore throat in children, virological and serological research methods are used. Washes and swabs from the nasopharynx are examined by PCR; with the help of ELISA, an increase in the titer of antibodies to enteroviruses is detected by 4 or more times.
To exclude serous meningitis, it is necessary to examine the child by a pediatric neurologist ; for complaints from the heart, a consultation with a pediatric cardiologist is indicated ; if changes are detected by the general urine analysis - a pediatric nephrologist .
Herpetic sore throat in children should be distinguished from other aphthous diseases of the oral cavity ( herpetic stomatitis , chemical irritation of the oropharynx, thrush), chickenpox .
There is no specific antiviral treatment. Treatment of the cause of herpes disease should be carried out according to the scheme:
• isolation of the patient • plentiful drink, bed rest • actions to relieve and relieve symptoms.
At the moment, they have not yet come up with a drug that can kill the causative agent of the disease. You can only alleviate or remove the symptoms. A person fully recovers only when the body develops immunity to the virus. It usually takes the body a week.
First of all, it is advisable to isolate the child from other family members - to allocate separate dishes, linen and a towel - the disease is contagious. With herpes sore throat, children are prescribed antihistamines to relieve swelling and irritation. "Claritin", "Suprastin" and others will do. To reduce the temperature, use antipyretics: Nurofen, Efferalgan, Paracetamol, etc. To relieve pain in the throat, gargle with broths of sage, chamomile, calendula, salt or soda solution. Rinsing should be done every hour. You can use special sprays and aerosols: "Hexoral", "Ingalipt", "Tantum-Verde". Tablets and lozenges relieve pain. It is advisable to use antiseptic agents "Miramistin" and "Chlorhexidine".
For a successful recovery, it is necessary to create favorable conditions for the child. It is necessary to provide conditions for sleeping in a well and often ventilated room. The diet should be dominated by soups, mashed potatoes, cereals. Food should not be hot to avoid irritating a sore throat. Do not forget about a plentiful warm drink. The patient can be given a rosehip decoction, tea with jam or honey.
Note to parents! In no case, with herpes sore throat, do not inhale, warm up and do not apply compresses. Such measures only activate viruses, and the disease will drag on.
Some parents mistakenly smear the bubbles in the larynx with iodine or brilliant green. This measure is absolutely ineffective, does not bring any practical benefit, but it causes severe pain in the baby.
There is no need to give the child antiherpetic drugs such as "Acyclovir" and its analogues. As we already mentioned, the course of the disease has nothing to do with the herpes virus.
Traditional methods of treating herpetic sore throat can also be supplemented with folk remedies. But at the same time, the selected prescription should be agreed with the attending physician. The most effective traditional medicine recipes are:
Propolis. 2 grams of propolis should be chewed in the mouth for 15 minutes. The procedure must be repeated three times a day.
Honeycomb can also be used as chewing gum three times a day. 1 teaspoon of aloe juice twice a day.
Kalanchoe leaf will help to cope with pain in the nasopharynx - it must be chewed until the juice stops secreting. Kalanchoe can be chewed three times a day.
Propolis in the form of an alcoholic tincture for gargling - in one glass of water you need to dilute 1 teaspoon of the solution.
Before using this or that folk remedy, you should make sure that the patient is not allergic. Honey and propolis are both common allergens.
At the first sign of malaise, you should see a doctor. If you do not start treatment in a timely manner, then serious complications can develop:
meningitis with inflammation of the meninges; encephalitis (inflammation of the brain tissue); conjunctivitis hemorrhagic - an infectious lesion of the eyes; rheumatism - connective tissues become inflamed; myocarditis is an inflammatory process in the heart muscle. Observing all the doctor's recommendations, and adhering to the course of treatment, you can avoid the development of these complications and significantly speed up the recovery process.
Medicine has not yet invented special means for the prevention of herpes sore throat or life-saving vaccines against it. All preventive measures are aimed only at strengthening the child's immunity:
hardening proper balanced nutrition adherence to sleep and rest walks in the open air physical activity. During epidemics, it is worth avoiding public places with a large crowd of people - do not forget that you can get infected from just a person passing by. Babies from an early age need to be taught to hygiene and sanitary standards.
For children with herpes sore throat and contact persons, quarantine is established for 14 days. Current and final disinfection is carried out in the epidemiological center. In most cases, herpetic sore throat in children ends with recovery. With the generalization of a viral infection, multiple organ damage is possible. Deaths are usually observed among children in the first years of life with the development of meningitis.
Specific vaccine prophylaxis is not provided; children who have been in contact with a patient with herpetic sore throat are injected with a specific gamma globulin. Non-specific measures are aimed at the timely identification and isolation of sick children, increasing the reactivity of the child's body.
In conclusion, I would like to say: it is necessary to treat herpetic sore throat. And the sooner you see a doctor, the sooner recovery will come, and the risk of complications will be minimized.