 |  Child, fever, tongue ulcers, lymphadenopathy
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| Author | 5 Posts |
lucci
Forum Senior
Topics: 35
Posts: 52
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A child with fever , irritability & drooling. PE: there are numerous small ulcers on tongue + ant. Cervical Lymph node enlargement :
a. -Herpangina
b. -Herpes simplex stomatitis
c. -leucoplakia
How can we make the difference between herpangina and herpes simplex in this question?
Thanks.
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| dipsite
Forum Newbie
Topics: 1
Posts: 26
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its simple man
Herpangia doesnot cause lymphadenopathy....fever can be because of a trivial tongue ulcer...i think lymphadenopathy is the attracting point..
cheers!
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| huangbaobao
Forum Junior
Topics: 4
Posts: 18
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shoule be herpangia. it could cause lymphadenopathy
check this
Background: Herpangina is an acute febrile illness associated with small vesicular or ulcerative lesions on the posterior oropharyngeal structures. Herpangina typically occurs during the summer and frequently in children, but also young adults. Various enteroviruses cause the condition.
Pathophysiology: The enteroviral agents causing herpangina belong to the Picornaviridae family of viruses. Coxsackievirus A usually causes herpangina; less commonly, the condition is caused by coxsackievirus B, echovirus, and enterovirus.
These viruses typically spread via the fecal-oral route, though the viruses may spread via the respiratory route or through fomites. Fresh water sources (eg, lakes) may act as a reservoir for transmission.
The incubation period is usually 7-14 days. Viremia occurs after inoculation and, subsequently, results in distant sites of infection. Clinical symptoms occur after viral replication at secondary sites of infection. Bilateral, anterior, cervical lymphadenopathy may occur, resulting from infection of the posterior oropharynx. Coxsackievirus A may be recovered from the nasopharynx, feces, blood, urine, and cerebrospinal fluid (CSF). After resolving clinical symptoms, enteroviral infection may continue asymptomatically in the gastrointestinal tract.
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| drashishmahajan
Forum Senior
Topics: 6
Posts: 92
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cant be herpangina as it does nt couse gingivitis n mostly involve the posterior oropharyngeal structures
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| mrdowntoearth
Forum Newbie
Topics: 0
Posts: 10
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It's herpes...herpangina mostly occurs in the posterior oropharynx. Herpes, on the other hand, is mostly in the anterior with possible lesions in gingiva, buccal mucosa, tongue and lips. Regional lymphadenopathy is common in herpes
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