The coke virus is transmitted to adults. Coxica virus: the mysterious "algered" or an old familiar? Stages of development of infection
Coxaki virus or e.nonerovirus infection - A group of acute infectious diseases caused by intestinal viruses (enterovirus). The disease most often occurs in childrenEspecially in the spring and autumn period. Sometimes due to unclear etiology, this infection is called "Summer influenza".
Manifestations coxaki virus They differ in polymorphism, often associated with the defeat of the central nervous system, muscles, myocardium of the heart and skin. In different regions of the Russian Federation and neighboring countries, epidemic outbreaks and / or incidence raises are recorded.
The circulation of enteroviruses among the population is associated with the presence of susceptible persons in the population and long virusism. One of the features of these infections is a healthy virus monitoring, as a result of which the occurrence of sporadic forms and mass diseases may be observed children of younger and older ages.
Coksaki Virus Opening History
In 1948 Dalldorf and Sylics first allocated the cokes virus and from the faeces of a paralyzed child in the American town of Koksaki. The virus was detected as a result of infected with the material obtained from this patient.
In 1949, Dr. J. Melnik for the first time was isolated by the coke virus in when infected with newborn mice material obtained from children sickly with serous meningitis. In subsequent years, other serotypes of Coxaki A and V. viruses were allocated
Epidemic Coxaki Virus
Geography of enterovirus infections is very wide and covers almost all countries of the world. Flares of enterovirus (aseptic) meningitis in France (2002), in Japan (2001), in Spain (2000), in Germany (2001), in Turkey (2017) are described. The largest of the outbreaks described was noted in 1998 and 2000. In Taiwan, in 2000 in Singapore, in 2003 in Tunisia.
In Russia, the largest outbreaks of the cokes virus were observed in the Primorsky Territory (Khabarovsk, 1997, Koksaki viruses were prevailed in 3, 4, 5; Echo 6, 17, 70th type enterovirus) and Kalmykia (2002, 507 cases, virus Echo 30).
Pathways of Coxaki
Coxaki viruses are targets of the family of pecornaviruses, family enteroviruses. There are 23 serotype of the cokes virus A; 6 serotypes of cokes in; 32 Serotype of Echo viruses (Enteric Cytopathogenic Human Orphan - orphan intestinal cytopotogenic human viruses); 5 human enterovirus (68-72 type enteroviruses).
According to an international classification, Enterovirus includes 70 viruses dangerous for man. It is known that all of them have some similarities: resistant to alcohol, ether and freezing; Common and highly resistant to the effects of physicochemical factors.
You can inactivate enteroviruses when dried, ultraviolet irradiation, high temperatures, as well as in the process of treatment with formalin solution and chlorine-containing solutions. It has been established that the duration of the stay of enteroviruses in the intestine does not exceed 5 months.
Coksaki virus in children
Basically, the virus is striking children under the age of 10 years, and serious complications, as a rule, are developing in children under 2 years. The susceptibility of children towards enteroviruses is high, the disease is most susceptible to children aged 1 years to 10 years.
Older children and adults are less likely, which is explained by immunity, which can be formed by asymptomatic infection.
All clinical forms of enterovirus infection in children can be divided into typicaland Atypical (erased, asymptomatic).
A child whose organism hit Enterovirus, can become a carrier or transfer the disease in a light form. Thus, according to the Arkhangelsk SES, with an outbreak of acute disease, about 85% of cases proceeded almost asymptomatic, in 12-14% - the lungs and average forms of the disease were determined and only 1-3% of children were heavily. These infections are particularly dangerous for people with immunodeficiency.
TO typical The manifestations include: Gerdangin, epidemic Malgia with strongest pains in muscles, serous meningitis, encephalitis, paralytic shape, encephalomiocarditis of newborns, as well as enterovirus fever, enterovirus examiner, gastroenteritis, mesadenit, myocarditis, pericarditis, hepatitis.
Coksaki in newborns and infants
It should be noted that children of the first months of life make up a risk group for enterovirus Meningitis. At the same time, children may have a progressive development of systemic disorders in the form of necrosis of the liver, myocarditis, necrotizing enterocolitis, disseminated intravascular coagulation syndrome.
Two groups of diseases caused by enteroviruses are distinguished:
- potentially severe: meningitis, encephalitis, acute paralysis, neonatal septic-like states, myocarditis, pericarditis, hepatitis, chronic infections in individuals with immunodeficiency;
- less dangerous forms: three-day fever with / without rash, Gerpellina, pleurodinia, vesicular pharyngitis, conjunctivitis, wipe, gastroenteritis.
When light flow of meningitis In children, the disease ends for 7-10 days with complete recovery without residual phenomena. Meningleal symptoms can be wearing a wave-like character, and the state is a tendency to deteriorate in the 3rd na of the disease.
There are also known cases transverse myelita In the form of severe spinal cord, which is manifested in the form of spastic paresis and paralysis (more often) limbs with dysfunction of pelvic organs.
It was revealed that the development of polio-like forms is associated with the cokesacks of Coksaki A7 and the enterovirus of the type 71, while the clinical picture has common features with polio and can manifest itself in the form of spinal, bulbar, pontin and meningeal forms.
Female outcomes are not associated with damage to the central nervous system, but with development liver failure (Echo viruses) and myocarditis (Coxica viruses).
Symptoms of Coxica virus in children
Infections caused by enterovirus Koksaki and Echo., are characterized by a variety of clinical forms: from virons and light fevering conditions to manifestic manifestations in the form of enterovirus examine, serous meningitis, Malgiy, etc.
Due to the fact that these viruses are able to influence various organs and systems, it is possible to develop several clinical forms of the disease, that is, there is a pronounced polymorphism.
At the same time, there may be lesions of the nervous, cardiovascular, digestive, respiratory, excretory systems, as well as muscles, organ of vision, oxide mucous membrane, endocrine organs. One of the heavy manifestations of the TSS defeat is serous Meningitis With severe headache, febrile fever, pain in the occipital muscles, light-and-sided, vomiting.
However, most cases of enterovirus infection proceeds asymptomatic, clinically manifested episodes - in the form of colds, often with intestinal syndrome.
Clinical Manifestations of Coxica Virus
For this infection, fever is characterized against the background of polymorphism of clinical manifestations that are manifested by the lesion of the central nervous (CNS) and cardiovascular systems, the gastrointestinal tract, muscles and other organs.
The disease usually begins acutely from intoxication syndrome characterized by a headache, nausea, vomiting, sometimes chills, fever up to 39-40 ° C.
When examining the patient, sometimes you can see the hyperemia of the face and neck, signs of the scurr. In Zev, there is hyperemia of the sky meek, a soft sky, the grit of the rear wall of the pharynx. Language can be somewhat thickened and covered with a white hoist.
When palpation is increased lymph nodes in cervical and axillary groups. Sometimes there is an increase in the size of the liver and spleen with 1-3 days of the disease. Frequent cases of tachycardia, heart rhythm disorders.
Often amazing several organs and systems at the same time. It is proved that the same serotype of enterovirus is able to cause various clinical forms of the disease.
In the event of symptoms, the disease should be isolated by a patient at least 10 days. Each case of the disease is subject to registration and accounting at the place of detection.
Ways to transfer the cokes virus
The main way of transmitting viruses is fecal-oral (dirty hand disease). However, there is also an air-drip path of transmitting the disease, when the virus penetrates through the mucous membranes of the respiratory tract, causing the disease in the form of respiratory disorders.
There are also a water and contact-household transfer path. The transmission factors serve water, as well as vegetables contaminated by enterovirus when using wastewater for watering. Viruses can be transmitted through dirty hands, toys and other objects.
The entrance gate with a given disease is the mucous membranes of the cavity of the nasal, the rotogling, the small intestine. After the virus is penetrated into the body, it is multiplied in lymphoid tissue, epithelium cells, lymph nodes, then penetrates blood - primary virusemia develops (on the 3rd day of the disease). It should be noted that enteroviruses are the most tropnes to CNS cells and muscle tissue
Some researchers call such an intestinal influenza disease, which is not quite correct in terms of the etiology of the disease. There is a way to transfer viruses - from mother to the fetus.
The reservoir and the source of the virus is a sick person, or a virus monitor. Healthy media play a significant role in the transmission of the virus (up to 46%).
The most intensive selection of the pathogen occurs in the first days of the disease (the contagiousness of these viruses increases). The incubation period can last from 2 to 20 days, on average 2-4.
The replication of enteroviruses occurs in the epithelial cells and lymphoid formations of the upper respiratory tract and intestines. In the future, the viruses with hematogenic means (through blood) according to the laws of tropiness reach various target organs.
Diagnosis of Coxaki virus
The diagnosis of enterovirus infection is possible with the help of laboratory methods, such as the detection of antigens of enteroviruses in epithelial cells of nasochloric flushing and in the epithelial cells of urine by the reaction of indirect immunofluorescence (RNIF).
In specialized virological laboratories, enteroviruses are isolated from feces separated by the nasopharynx, less often spinal cerebral fluid and blood, infecting culture of cells or mice. Typing viruses is performed in the reaction of neutralization of their infectiousness with a set of polyvalent antisubs.
There is a serological method that detecting the increase in antibody titer in various immunological reactions (RTGA, RSK, PH, IFA).
Recently, molecular typing of enteroviruses and method polymerase chain reaction (PCR) to identify a common nucleotide sequence for all enteroviruses.
Coxica virus treatment in children
Currently, viral infection therapy is difficult due to the lack of etiotropic drugs, especially in cases of non-specific polyorganic symptoms, due to the possible reproduction of different viruses, as well as untimely diagnosis of the disease.
To date, standard coke virus treatment diagrams are not developed. At the first signs of the disease, it is necessary to seek medical care, in no case do not engage in self-treatment, as lethal outcomes from meningitis and other severe diseases are possible, especially early children.
Antibodies, neutralizing virus appear in the early rates of infection almost simultaneously with the first symptoms of the disease. They are usually typical and capable of maintaining in the body for many years, and perhaps, and throughout life.
Examples of cokes treatment in children
As examples, we give an extract from the histories of children's disease with enterovirus infection, the diagnosis of which was made after a thorough laboratory survey.
Example №1
Boy M., 13 years old. Sick acutely. Complaints of soreness in the throat and in the oral cavity, the rise of temperature to 37.8 ° C, the decrease in appetite, lethargy. Both the second day when subfebrile temperature appeared, nasal congestion, throat pain, unstable stool. From the anamnesis it is known that another 1 child from the class fell ill with similar symptoms.
In case of inspection: on the skin of the hands in the dystal phalanx of the fingers, there are single elements of exanthemes in the form of bubbles with white content on a hyperemic leather background (limited plot), painless with palpation, not having trends to merge.
In Zev, hyperemia of the pavement and the rear wall of the pharynx is observed, single vesicles with white content are detected on the mucous membranes of the oral cavity (internal surfaces of the cheeks, gums, side and lower surfaces of the tongue). Some elements are located groups with single erosions.
Peripheral lymph nodes during palpation are slightly increased in paratronzillary and rear groups, painless. When examining urine, the fluorescence method detected antigen and enteroviruses. In the blood test of the leukocytes of 9.5x109 / l, without change in the blood formula, EE - 25 mm / h. The remaining indicators within reference intervals.
Her skin treatment and mucous membranes of the oral cavity with antiseptic Ochnyisept. After each meal, appointed Cycloferon in the age dosage according to the scheme, Metronidazole, Loratadin. Ointment Acyclovir On rash elements.
After 2 days, the state improved, sore throat and in the oral cavity were not disturbed. 1 week from the beginning of the examination of the examination disappeared, the mouth cleared. Fresh elements were not observed.
However, after another 1 week, the state somewhat worsened due to the associated diarrhea, while the frequency of the defecation reached 5-6 times in days. Within 2 days, the character of the chair became watery, an admixture of greens appeared, mucus. The patient noted a rice in his stomach, but pain was not observed.
In the collection of feces in the study: a large amount of mucus, single leukocytes, yeast cells, a moderate amount of neutral fat.
For three days, the condition improved, the chair was normal. Wellness good. With inspection, after 10 days there are no complaints. The child is almost healthy. However, given the data on the epidemiological features of enteroviruses, an additional laboratory survey was recommended in the dynamics of three times with an interval of 2-3 weeks.
Example number 2.
Boy K., 2 years old. It fell acutely with an increase in temperature to subfebrile numbers. Complaints on nasal congestion and mucous membranes discontinued in small quantities.
From the anamnesis it is known that his sister S., 5 years old, three days ago he turned with such complaints, and on the 3rd day of the disease, she had single elements of rash (vesicles) on her fingers and in the field of knee joints.
The boy at the third day of the disease appeared exanthema on the skin of the hands (fingers, the back surface of the brushes) and in the area of \u200b\u200bthe knee joints. The elements of the rash were worn part, had the kind of small vesicles with bright content on the unchanged skin background, did not tend to merge; Later they joined the sore throat, pain in chewing.
When inspection: peripheral lymph nodes are not increased, from the internal organs - without pathology. In the oral cavity on the mucous membrane, elements are visible with whipped content, located on the handles, the soft sky, the side surface of the tongue, cheeks, under the tongue. Some elements after opening had an erosive surface.
During the examination in the blood, the antibodies to the windmill virus, simpleness, Iransein, Salmonellam, pseudotuberculosis were not detected. In the urine, the Koksaka antigen was found in the RNIF antigen by the PCR method, cytomegalovirus infection (CMV), Epstein-Barr virus (EBX), herpes 1, 2, 6 types.
Herpentine treatment was carried out by antiseptic solutions for the treatment of the oral cavity to 8 times a day (Octenisept), ointment Acyclovir On rash elements.
On the second day of the beginning of treatment, well-being improved, the appetite was normalized. Fresh rashes were not observed. In the oral cavity, the number of elements decreased. On the skin of the lower limbs, the rashes were preserved up to 5 days. Recommended the urine control study after 1 month.
Example number 3.
Girl F., 7 years old. He addressed complaints to the periodic temperatures to febrile numbers. According to the mother, sick third week.
From the anamnesis it is known that it has sharply ill when the temperature rose to febrile numbers, weakness was noted, a decrease in appetite. The fever was held up to 5 days, then the temperature was normal.
The girl felt almost healthy, however, after 5 days the rise was once again observed, which was preserved for 3 days and then decreased to normal numbers without treatment. A few days later, subfebilite was once again observed and for three days the body temperature independently normalized.
In case of inspection, pronounced asthenovegetative syndrome, leather and mucous membranes are clean, on the part of the internal organs without pathology. In general blood test: hemoglobin - up to 114 g / l, ESP - 50 mm / h. The leukocytosis was not observed, but the presence of toxicogenic grit neutrophils was observed with blood smear microscopy. In the serum, antibodies were not found to the rations, pseudotuberculosis, Salmonellam, Parvovirus B19. The PCR method did not identify the CMV, herpes and EBX viruses. In the urine, the RNIF method found an antigen of Koksaka A.
Received treatment: abundant drink, antiviral drug.
Against the background of treatment, the condition stabilized, for the period of observation (14 days) of the temperature raises was noted, the indicators of the general blood testing were normalized.
As can be seen from the above examples, diseases caused by the cokes viruses are distinguished by a pronounced polymorphism: from the complete absence of clinical symptoms with high fever (repeated rise in temperature) to diseases with damage to the skin, oral mucous membranes (language, soft sky).
In clinical analysis of blood, polymorphism is also possible - from the normal content of leukocytes and significantly increased ESP (up to 50 mm / h) to leukocytosis with a moderate increase in ESP. In this regard, clinical diagnosis is sometimes very difficult. To form a diagnosis, it is necessary to use laboratory diagnostic methods: detection in the urine or epithelial cells of nasophal flippers by the RNIF antigen antigen method.
Prevention of contamination with coking virus
Preventive measures are aimed at preventing contamination by enteroviruses of environmental objects, use in food only boiled water.
It takes to wash your hands after visiting the toilet, strictly observe the rules of personal hygiene, thoroughly wash vegetables and fruits before eating; Swim only in specially reserved places.
Specific prevention measures (vaccination) have not yet been developed. Perhaps one of the methods of combating enteroviral infections is a vaccination against poliomyelitis, since the used vaccine strain can have an inhibitory effect on enterovirus.
In case of infection, called the coke virus, the rashes are localized according to the principle: the hands-legs model. This expression is otherwise called the specified infection. Children are heavier than 1-2 years old.
A group of enteroviruses that perfectly survive in the stomach and intestines are called the coke virus. The first time the infection was found on the territory of the United States in the small town of Koksaki, where the name of the disease came from. Enterovirus Coksaki quickly spread throughout the world and today is striking the gastrointestinal tract, it is especially rapid in the children's body.
The infection is usually manifested in children under the age of 5 years and very rare in adults. The disease leaves after itself a persistent immunity, and it is impossible to infected the cokes. The virus is divided into several types, among which A, C and into particles. In total, there are about 29 varieties of infection. It is transmitted very quickly and easily from a sick person to healthy: through blood, food, or in most cases airborne droplets.
Many cases of virus spread are registered in children's preschool institutions. It is important to monitor the hygiene of the hands of kids and wash them after coming out of the kindergarten, from a walk. The disease is especially dangerous for children under the age of two years due to severe flow. The exact diagnosis will be able to confirm only the doctor after inspection and testing.
Virus type A is striking skin cover and mucous membranes, causes an angina and meningitis. Many patients have conjunctivitis with swelling and redness of the eyes. The upper respiratory tract is affected, there may be vesicular stomatitis, accompanied by
Another type of virus is even more dangerous. The infection penetrates the pleura, the heart, the liver, causes inflammation of the heart muscle, heartbag or pericarditis, inflammatory liver process, pancreas. Pureralgia may occur when pain in the chest area appears.
Symptoms of viral disease
Usually the diagnosis of the disease in children is somewhat more complicated. It is independently impossible to know the symptoms of the coke virus, as they resemble other common manifestations. Children up to 3 months rarely sick, because the immunity is transmitted from the mother to the child, the more babies protect the maternal milk. After the age of 10 years, cases of illness are also infrequently recorded.
The second name of the virus is the "hand-leg-mouth", since small red blisters appear in these places. The rashes at the very beginning of the disease are located on the palms and feet of the children, between the fingers of the hands and feet, in the mouth on the mucous membrane and around the lips.
Points on the body have a small size and appear on 2 or 3 days of fever, and can also be accompanied by a strong itch. In addition to legs and hands, acne is localized on buttocks, genitals, back and stomach. All these first signs are held to the fact that the child becomes restless, capricious, refuses to drink and eat, sleeps badly.
The following symptoms are developing in the future:
- body temperature sharply rises to high rates, about 40 °;
- children are quickly tired;
- general intoxication and fever;
- strong sore throat;
- head and muscular pain;
- stool violation.
In young children, sometimes a rumbling in the stomach, vomiting appears. Although the child often refuses food, you need to eat it as much as possible, and giving the chest, because immunoglobulins are present in the maternal milk. All symptoms in childhood are in 2 or 3 days. A strong itching and ulcers in the mouth need urgent treatment, as well as an increase in temperature during the attack of the virus.
As far as the disease is a disease
The virus is very contagious and is transmitted in almost 100% of cases of close contact with the patient or his personal belongings. In adults, bright symptoms of the disease are extremely rare. The younger child, those heavier to transfer infection due to the weak protection of the immune system. The virus can live on the subjects of the life or clothes of the sick child about a week at normal temperature. If the infection fell into a children's team, then with a probability of up to 80%, many kids will get sick.
The duration of the incubation period from 4 to 6 days. Since a wet environment is suitable for the virus, more cases of the disease is registered in autumn and spring. Even after the child passed sharp symptoms of the disease, the virus stands out with the feces and saliva two more months, because the surrounding need to be careful.
The disease is less common among adults, but cases of infection, of course, are. In addition, the virus can be transferred to the intrauterine from the mother to the child mainly in the last third trimester. Even if the newborn will have signs of illness, they will quickly pass without any consequences for a small organism. Pregnant women need to follow their hygiene even more carefully and wash his hands after visiting public places. 
Features of Enterovirus Coxaki
Signs of illness in the initial stages are easy to confuse with ARVI, but then the characteristic symptoms of enterovirus appear. It does not act on the causative agent, it does not die at an external temperature. Eliminate the virus with ultraviolet radiation, 3% solution of formalin and exposure to high temperature. The virus does not react to the acidic medium of the stomach and for a solution of chlorine acid.
It actively multiplies in the intestine of a sick person, which is why there may be vomiting and nausea in children and adults when defeating the coking virus. An important point is that the maternal milk is adversely acting on enterovirus, because cases of the disease in infants are less common. If infecting the infection has happened, the symptoms of the disease are much weaker than in children on artificial feeding or older.
How viral disease occurs
Enterovirus infection of the cokes have not one form, and its symptoms depends on the way of entering the pathogen into the body. The course of the infectious process is also different from other species of viral lesion of the body. The disease has four forms in children.
Influense form
The lighter view of the coke virus itself becomes the pathogen that causes the disease of the flu-like shape. The infectious process passes on average after 3 days. Immediately increases the body temperature in a child up to 38-39 °, hurts the throat and then the rash is joined. This type of illness does not have difficult consequences and goes through the faster than everyone else.
Intestinal infection
Viral particles of type A and B become the cause of the intestinal form of the disease. In this case, the temperature rises, the head and muscle pain appears, the child becomes sluggish. Eastern disorders appear immediately, among which diarrhea is up to 7 times a day and vomiting. In young children, except for diarrhea, there is redness of the throat, cough, runny nose. Often the disease is confused with poisoning or cold. The organism of school-age children will cope with the virus in a few days, while the baby up to 2-3 years old will need no less than a week.
Boston syndrome
If the toddles have a lot of red blisters, most likely, the coke virus is expressed in the form of a Boston disease. Children under 5 years old are very vulnerable to such a virus. The infection is in the body about 5 days. For the disease, it is characterized by an increase in temperature to 40 °.
Broncholma disease
The fourth form of the cokes virus leads to bronchilla disease or pleurodinia. In such cases, children have a high temperature for 3 days, soreness in muscles, pain and spasms in the sternum area, acne around the navel. The attack of spasm continues until 20 minutes, the child is heavier to transfer it in motion. True, this type of disease occurs very rarely.
Modern treatment
Children and adults are mainly the symptomatic therapy. Signs of illness are manifested in the first days of the disease, the doctor immediately appoints a course of treatment.
Decreased temperature in children
The first thing is to reduce high temperature rates in kids, for this purpose the nutritional syrup nurofen, PANADOL, CEFECON Candles with paracetamol in the composition. Ibuprofen is suitable for children from 3 months and weighing more than five kilograms. The antipyretic agent should be given to the kids no more than 4 times a day.
Reducing itching
The disease in young children is accompanied by a strong itching, therefore without drugs that will be removed, not to do. Adults are prescribed Supratin and other antihistamines, for children's skin fits the gel phenyatil, suprastin in the form of tablets or solutions. The delicate skin of infants is recommended to be treated with special means, for example, Vitaon Bebi, which includes natural vegetable oils, vitamins and biologically active components that have anti-inflammatory and antimicrobial effect. 
Reducing pain in the mouth
The mucous membranes in the oral cavity are constantly damaged, allocated in a large number of saliva. In this case, the baby's head is better to turn to the right or left side so that it does not choose saliva. When defeating the mouth will be very difficult to eat, therefore it is necessary to give the baby more cool drink and lubricate ulcers with special means.
Antacids Relzer, Maalox and others are suitable for eliminating painful sensations in the oral cavity. For a baby, a gel is optimal for painting pain in teething, which is in the first-aid kit of any mom. It can be applied to each risk or yazelka. For rinsing, the oldest guys fits the decoction of chamomile, a solution of furaciline, saline solution. If the symptoms of general intoxication joins the inflammation of the throat, then the lollipops are used for resorption and special sprays.
So that bacterial infection does not join the rashes, the wounds are lubricated with antiseptic greencase or fuccin solution. Enterovirus beats the child's immune system, therefore it is necessary to give the body vitamin and mineral complexes to support his strength. Nootropic drugs are prescribed to restore the disturbed metabolic processes in the patient's body.
In severe cases, interferon preparations are shown, among which immunomodulators: visiferon, cycloferon.
Children are less likely there are intestinal disorders in the form of diarrhea or vomiting, but if the child goes to the toilet 6-7 times a day and it is nauseous, it is necessary to give solutions to rehydration, for example, a regider. Antibiotics are not prescribed because they will not be able to overcome the virus. If children develop different complications, only then the doctor can recommend antibacterial therapy.
In an adult, a viral infection takes place in three days and it can return to work. The younger child, the longer there will be a treatment period. The rash passes for 10 days, and the remaining symptoms are determined by the individual characteristics of the body.
The manifestation of symptoms depends on the state of human health, competent treatment and timely visits to a specialist. If on the third day the condition of the patient, despite the designated treatment, the signs of meningitis or paralysis deteriorated and appeared, need to immediately seek help.
Enterovirus Coksaki is dangerous in that it looks like other intestinal infections or an ordinary cold, because it is often correct not immediately diagnosed. The faster the disease can be determined and start the therapy, the less the risk of complications for the liver, the heart in children.
When the family appeared in a sick virus, it is necessary to give it separate dishes and bed linen, maintain cleanliness and order in the house. Observing uncomplicated rules, turning to the doctor on time, you can prevent the complications of the disease and significantly alleviate its current.
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The site provides reference information solely to familiarize yourself. Diagnosis and treatment of diseases must be under the supervision of a specialist. All drugs have contraindications. Consultation of a specialist is obligatory!
What doctor to contact the coke virus?
If the coking virus provoked the course of infection by the type of small disease (summer influenza), when the body temperature sharply rises, the lymph nodes increase, headache, weakness, lethargy, muscle loss, the deterioration of appetite, redness of the eyeworkers, You need to contact K. doctor-therapist (sign up) or pediatrician (sign up).
If the Koksaki virus provoked the development of the Gerpentine (handicapped, almonds and tongue, red, in heaven, almonds and lugs, there are blessed papulas, after 2-3 days turning into bubbles that burst and leave ulcers, while there is a high temperature, weakness, lubrication in the body , headache and other symptoms of intoxication), then contact doctor-otolaryngologist (sign up) or therapist (in the case of children - to the pediatrician).
If the coke virus provoked the course of an infection by the "Hand-Noga-Mouth" syndrome, when the body temperature rises, and then against the background of its fall on the skin, red viral rashes appear (such rashes are most often localized around the mouth, on the palms and footsteps, but can be on the body, under the hair, on the buttocks), it is advisable to contact infectious doctor (sign up)But you can go to the reception and to the therapist or pediatrician.
If the coking virus proceeds by the type of Bornholm's disease, when a person is present very strong muscle pains (often pain in intercostal muscles, causing shortness of breath, and pain in the top of the abdomen, similar to appendicitis, peritonitis, etc.), which Pass through 3 to 4 days, it should be referred to a infectious doctor. This is due to the fact that after the disappearance of pain in the muscles in most cases, meningitis develops, which is a continuation of the course of the disease. Actually, to prevent the development of meningitis or for its most effective treatment at the very beginning of the development of the disease, it is necessary to appeal to an infectious background with hospitalization into an infectious department.
If the coking virus causes meningitis or encephalitis (high body temperature, vomiting, strong headaches, the rigidity of the occipital muscles - when it is impossible to reach the chest with a chin), then urgently cause "ambulance" and hospitalized in an infectious office. If you cause "ambulance" for some reason, it is impossible to get to the nearest infectious branch in the shortest possible time.
If the coke virus causes the flow of infection by the type of polio (sluggish paralysis of the lower extremities, the pain in the legs and arms, the decrease in the tone of the muscles, the attacks of muscle tremors, the disorder of the chair and urination), should be contacted to the infectious doctor. If there is no reason for any reason, you should contact a pediatrician or therapist.
If the coking virus provokes mesadenite (high body temperature, attacks of sharp pain in the abdomen, constipation, increasing cervical, inguinal, axillary lymph nodes), then contact surgeon ().
If the coke virus causes the symptoms of an intestinal infection (low body temperature, vomiting, diarrhea, dry skin and inflammatory process in the upper respiratory tract - runny nose, pain and redness in the throat, cough), then contact the infectious doctor.
If the coke virus provokes pericarditis or myocarditis (long fever, heart pain, arrhythmia, shortness of breath, fainting, nasolabial triangle sinusiness), then it is necessary to hospitalize in the hospital under observation cardiologist () or therapist.
If the coke virus provokes the Qatar of the upper respiratory tract (high body temperature, runny nose, pain and redness of the throat, cough, hoarse voice, etc.), then you should contact a doctor, or to a pediatrician in the event of a child.
If the coke virus provokes hemorrhagic conjunctivitis (redness and eye pain, edema eyelids, tear, photosensitivity), then contact ophthalmologist ()So that he appointed treatment and prevented possible complications.
If the coke virus proceeds in the form of orchita or epididimitis (high temperature, pain in the testicles, an increase in one or both testicles, an increase in inguinal lymph nodes), then contact the infectious doctor or urologist ().
Diagnosis of Coxica virus. What tests may appoint a doctor.
In typical manifestations enterovirus infections The diagnosis can be determined on the basis of the characteristic symptoms: herpetic angina, exammatime, "Hand-Leg-Roth" syndrome, fever. At the same time, specific virological studies are often not required. But since coxaki virus It often flows atypically, it is possible to prove enterovirus infection only with special laboratory tests.To identify enterovirus, use two types of laboratory diagnostics:
1.
PCR diagnostics - identification of the virus In the biological fluids of the patient (feces, soils of mucus from the nasopharynx, urine and other).
2.
Serological research methods - identification of specific antibodies (immunoglobulins) to blood virus.
In addition, the patient will need to pass additional examination:
- general blood analysis;
- general urine analysis;
- analysis of the spinal fluid (in the presence of symptoms of meningitis);
- other types of research appointed depending on the defeat of one or another organ ( radiography (sign up), MRI brain (sign up), ECG (sign up) etc).
General analysis of blood and urine
In general blood test during the coking virus, changes are observed typical of many viral infections (moderate increase in leukocytes due to lymphocytes, acceleration of ESO). With severe flow, a decrease in lymphocyte levels (lymphopinge) is possible.Blood test for antibodies to cokes viruses
In case of enterovirus infections from the first days of the disease, human immunity responds to the formation of specific antibodies, or immunoglobulins. It is them that sergeous blood tests are revealed. Coxic virus markers:
- Immunoglobulins of class M (IgM) to coke viruses - antibodies of an acute period of the disease;
- Immunoglobulins of class G (IgG) to coke viruses - antibodies of transferred disease.
With this method, the virus serotype cannot be determined. The accuracy of such diagnosis is more than 90%.
Treatment of Coxaki virus
In most cases, diseases associated with the coke virus do not require hospitalization, but there are cases when without inpatient treatment cannot do.When urgently need to call a doctor?
- There is still no child one year and he has a high body temperature;
- Fever more than 3 days, the temperature is badly shot by antipyretic drugs;
- The child did not eat and did not drink more than 24 hours;
- Loss or confusion of consciousness, delusional state;
- Pronounced weakness, constant drowsiness;
- There were signs of meningitis (severe headaches, vomiting, convulsions and others);
- The skin appeared "unfortunate" bruises;
- Multiple vomiting and diarrhea (more than 6 times a day), against the background of which the child becomes sluggish;
- The child does not urinate more than 12 hours;
- Strong abdominal pains, in young children, this symptom is characterized by a constant strong crying and tightening the legs to the stomach;
- Bred dry cough, shortness of breath;
- The appearance of cyanosis (sinusiness of the skin of the face and limbs);
- Suspicion of paralysis of the muscles of the limbs.
How to treat coking virus at home?
1. Needed bed regime Prior to normalization of body temperature and general well-being.
2. Abundant drink - a prerequisite for the treatment of enterovirus viral infections. The child should drink often and a lot, it can be anything - water, tea, morse or compote.
Acyclovir with Coxica virus
Acyclovir is an antiviral drug used for herpetic infection. The coking virus has nothing to do with herpes viruses, so the acyclovir does not apply with enterovirus infections and is absolutely ineffective.Consequences and complications of enterovirus infections
Any infectious pathology has the risk of developing complications. Since the coke virus is very multiple, then complications can be very diverse. It all depends on which organs are affected by the virus. The most dangerous complication of the Coxica virus is the edema of a brain, which always threatens the patient's life and requires resuscitation events.
Possible complications and consequences of the cokes virus:
1.
Head brain swelling.
2.
Accession of bacterial infections: sinusitis, bronchitis, pneumonia, purulent conjunctivitis, purulent meningitis, etc.,
What is dangerous coke virus for a woman during pregnancy?
- Possible development of a severe course of enterovirus infection with the defeat of the nervous system, heart and other organs;
- high risk of developing complications of disease threatening life;
- without pregnancy (miscarriages), premature childbirth.
What is dangerous coke virus for the fetus?
- Intrauterine fetal infection;
- the development of the anomalies of the development of the central nervous system of the child (Ancentsephaly - the absence of the hemispheres of the brain, hydrocephalus - the brain water and other severe pathologies);
- delay of intrauterine development and pregnancy;
- intrauterine death of the fetus.
What is dangerous enterovirus infection for a newborn baby?
The koksaki group virus is not at most dangerous during pregnancy, but during and immediately after childbirth. Only born children's risk of infection with the coke virus is very high. Encephalomicarity of newborns, in which high mortality (about 40% of cases) and a great risk of developing severe neurological pathologies are observed.
Interestingthat if the newborn child is not infected immediately after birth, but after a while, and it gets breastfeeding, then the risk of infection is practically absent. This is due to the mothers antibodies that it transmits with its milk.
In what trimester pregnancy is the most dangerous coke virus?
Enterovirus infections are undesirable throughout the pregnancy. In early terms, there is a risk of miscarriage and anomalies of fetal development, since all organs and fetus tissues are only laid and form. But in the later deadlines, the risk of developing enterusive infections in a newborn, which also carries negative consequences for the health and life of the child.
What if a pregnant woman was infected with the coke virus?
First, you should not panic, in most cases enterovirus infection does not become a tragedy for the future mother and child. Often it flows like an ARVI, herpetic angina or examine. Such women are usually hospitalized to the hospital and are observed for the patient's condition and her baby. Paracetamol and disintellation therapy (enterosorbents, infusion solutions in the form of droppers, vitamins, etc.) are usually prescribed from treatment. We will have to regularly pass the feces on the definition of virons, blood to control the production of antibodies, control the ultrasound of the fetus.
How many cokes virus are infected with a patient? Quarantine with enterovirus infections
The beginning of the selection of the virus is 1-2 days before the onset of the disease, and the "peak of infectiousness" falls on the 2-3 days of the disease. After recovery, the patient is a sequencer of enterovirus a few more weeks, in rare cases - several months and even years. During the illness, all biological fluids are inflated, but the longer selection of the virus is observed with the feces. If a child is ill, who visits a kindergarten or school, then the baby is necessarily isolated for the period of the whole disease, and allow for children's team only after complete recovery, normalization of body temperature and skin cleaning from rashes, but not earlier than 14 days later. In case of serous meningitis, children are isolated on 21 days.
Quarantine in the children's team usually declare 14 days, it is so much the incubation period can last. If during this time new patients are revealed, quarantine is renewed for another 14 days.
After identifying a patient with enterovirus infection in children's institutions, the final disinfection is necessarily carried out, sanitary and epidemic services are usually connected.
Also, quarantine is superimposed on the maternity and children's offices in which sick children, parents or medical personnel were identified.
Immunity after the Coxica virus
After transferring enterovirus infection in the human body, specific antibodies are formed to the virus, which protect against re-infection. That is, persistent immunity is produced. But such antibodies are effective only to those virus serotypes, which were silent by a person. Recall that there are 29 serotypes of the cokes virus and 32 Serotype of ESO. Therefore, repeated enterovirus infections caused by "new" virus serotypes are possible.Prevention of enterovirus infection
Coxica viruses vaccine (specific prophylaxis) at the moment does not exist, it is associated with a large number of serotypes and variability of the virus.What if the child fell ill with the coke virus?
- Patient is preferably isolate from other children in a separate room;
- carefully follow the purity of the hands of all family members;
- regularly carry out wet cleaning, disinfection of pots and restroom, wipe door handles, air room;
- for disinfection, disinfectors containing active chlorine, hydrogen peroxide, 0.3% formalin solution;
- quartz lamps are effective, only one cannot allow the stay of people in the room where the quartzing is coming, and after the procedure it is necessary to thorough ventilation;
- select separate dishes for the patient, it must be processed;
- tools will have toys, towels and various objects of "shared use";
- for contact children, the introduction of gamma globulin is recommended, which will strengthen the protection against the cokes virus and its heavy manifestations, also for children with weakened immunity, it is recommended that the use of interferon and immunostamulators preparations;
- Intestinal infection - description, types, paths of infection, symptoms (diarrhea, vomiting, temperature). Rovotiral infection in the child and in adult - symptoms and treatment
- Koksaki virus - description, incubation period, symptoms and signs of enterovirus infection in children and adults, photos. How can a child get an infected coke virus?
It has been established that the coke virus in children is the pathogen of enterovirus infection. This microorganism determines the defeat of the gastrointestinal tract of patients and may cause inflammation of the shells of the brain, visual disorders and other complications. This pathology is distributed in all countries of the world.
Interesting Facts About Coxica Virus
Coxic viruses in children are a group of microbes causing a variety of diseases. When infecting the child, enterovirus infection is developing. Her causative agent has the following distinctive features: 
- divided into 3 types;
- infects the mucous meal of digestion, brain, heart and respiratory tract;
- it is transferred to man fecal-oral through water, food and dirty hands.
Children account for up to 90% of all diagnosed cases of enterovirus infection. More often sick kids of preschool age. Sometimes the cacaki virus infection occurs through a placenta from an infected woman. The alimentary path of penetration of the cokes virus into the child's body is observed most often. Risk factors are swallowing of dirty water during bathing, use of unwashed vegetables, berries and fruits and drinking non-filled water.
Less often occurs the air-drip path of transmission of the cokes virus. It is realized during sneezing or cough. Perhaps contact-domestic infection. The risk group includes children living in bad socio-hygienic conditions. Enterovirus infection often occurs in the form of flashes in kindergartens, schools and camps. The peak of morbidity falls for the summer and autumn.
Who is such a viroster
As the disease proceeds from carriers of infection, not everyone knows. There is such a concept as a virus monitor. This is a person in whose body is the causative agent of infection (Koksaki virus). In such people, symptoms can be expressed weakly or not at all. Virosteners Along with patients with a manifest form of this pathology are sources of infection. The transmission of the virus from one person to another is carried out through hands, when talking, coughing, sneezing, as well as during the use of common dishes.
Other forms of infection
The coke virus is manifested not only by common, but also local symptoms on the body. Mix typical and atypical forms of the disease. In the first case develop: 
- combined inflammation of the stomach and small intestine;
- angina;
- serous meningitis;
- encephalitis;
- exanthema;
- enterovirus fever;
- malgy;
- hepatitis;
- pemphigus;
- inflammation of the heart muscle;
- pericarditis;
- inflammation of conjunctiva;
- cystitis;
- orchoepididimitis.
When skin, the disease is often observed itching. Atypical enterovirus infection is distinguished by erased or asymptomatic flow.
The rota virus in children can cause acute inflammation of the sky or sink almonds. Anglas develops (acute tonsillitis). The disease is caused by the coke virus and is diagnosed mainly in children for 3-10 years. A person in the young age of aneg is heavier. Often, acute inflammation of almonds is combined with impaired brain functions.
Cokesaks of the group A and B penetrate the body and causes a virus. The causative agent of infection has tropiness to the mucosa of the upper respiratory tract. Cokesaki causes an inflammatory reaction, and also leads to dystrophic and necrotic changes in tissues. The asymptomatic period is 1-2 weeks. 
Herpetic angina caused by cokes, for their flow resembles flu. The following symptoms are observed:
- violation of the chair in diarrhea;
- fever up to 40 ºC;
- pain in the abdomen, muscles and back;
- decline in appetite;
- headache;
- vomiting;
- weakness;
- sore throat alone and when swallowing;
- enhanced saliva;
- runny nose;
- cough.
With the damage to the oral mucosa and the tonsils appear rashes in the form of small papules and vesicles. They are filled with a serous secret. After 2-3 days, the elements are revealed, and small yazens appear in their place. When examining the zea of \u200b\u200bsick children, redness of the arms, almonds and tongues are detected.
Cokesaws in the oral cavity often leads to an increase in submandibular, parole and cervical lymph nodes. Some children have an alarina in an erased form. In this case, local symptoms in the form of rasons may be absent. The most difficult to endure enterovirus infection weakened children. They often have several waves of rashes. Sometimes Exanthema appears on the limbs and torso. The overall condition of children infected with cokes is improved in 3-5 days.
Enterovirus Coksaki often becomes the cause of Boston fever (Exanthem). Such children on the skin appears rash, which resembles rubella, cortex and scarletin. The rashes are localized mainly in the face of the face and body. Children suffer under 5 years old. Sometimes the oral mucosa is involved in the process.
On it appear bubbles resembling herpes. In this case, we are talking about bubble. The symptoms of viral dermatitis are worried within 1-5 days. This clinical form of enterovirus infection in children is distinguished by a benign flow and ends with recovery.
Symptoms of virus in children: photo
Coksaki virus in children cause different symptoms. This often makes it difficult to formulate a diagnosis. The most frequent signs of enterovirus infection in kids are:
- nasal congestion;
- difficulty swallowing;
- a sore throat;
- numbness of the limbs;
- nausea;
- diarrhea;
- flatulence;
- vomiting;
- dyspnea;
- whistling breathing;
- reducing body weight;
- increasing body temperature;
- rash on hand and legs;
- vision impairment;
- depression;
- convulsions;
- difficulty sleep;
- an increase in lymph nodes;
- reduction of memory;
- pain in the pelvic region;
- cough;
- reduced sense of smell.
If you have a coke virus in children, photos of patients helps a doctor to put the correct diagnosis. Such kids often appear rash and skin becomes pale. Children with this disease are revealed to redness of the eyes, tearing and eyelids. In engaging in the process of respiratory, heart and brain, the oppression of consciousness is possible.
Other virus syndromes
The presence of the cokes virus in a child leads to the appearance of several clinical syndromes. These include:
- meningeal;
- dyspepsic;
- respiratory;
- intoxication;
- asthenic;
- visual disorders.
With an alimentary infection often develops dyspepsic syndrome. It includes signs of gastroenteritis. These include liquid, watery stools with a frequency up to 10 times a day, vomiting, nausea, pain in the epigastric or iliac region, bloating and the absence of appetite.
Frequent signs of the cokes virus in children are headache, drowsiness, eye pain, sensitivity impairment and movements in the limbs, fear of bright light and noise, as well as meningeal symptoms (Kerniga, Brudzinsky). All this indicates the inflammation of the shells or substance of the brain.
Coxica virus often leads to epidemic Malgia. This state manifested by severe pain in muscles and chest, fever, frequent breathing, skin pallor and abundant sweating. Sometimes the disease proceeds by type of polio. Such children appears motor disorders syndrome. It is possible to develop a sluggish pan or paralysis of the legs. Often concerned weakness and chromotype.
Sometimes, when infected with the coke virus, the heart is affected. Myocarditis develops (inflammation of the heart muscle) and pericarditis (inflammation of the shallower bag). With cardiac syndrome, shortness of breath appears, breast pain and rhythm disorder. When enterovirus infection often develops feverish syndrome.
This form of the disease usually proceeds favorably. The temperature rises to 38.5-40 ºC. She keeps no more than 3-4 days. In some children infected with the coke virus, hepatolyenal syndrome develops. It is characterized by an increase in the size of the liver and spleen. The function of organs may not be violated.
Coxica virus treatment in children
To prevent infection of those surrounding people, the patient should be isolated. With a light form of enterovirus infection, treatment takes place in outpatient conditions. In more severe cases, hospitalization is required. In most cases, etiotropic therapy is not carried out. The main aspects of treatment are:
- the use of symptomatic means;
- immunity stimulation;
- disintellation of the body;
- the correction of the water and electrolyte state;
- abundant drink;
- compliance with beddown.
Additionally, vitamins and mineral supplements based on zinc, selenium, magnesium and calcium can be assigned. If the Koksaki virus in children led to the stopping of breathing or heartbeat, there are resuscitation activities. Patients should use a separate dishes to avoid the spread of infection. At the time of treatment, you need to give up a school or kindergarten.
How to treat newborn babies, should explain the parents of the doctor. When the coke virus is highlighted, newborn needs to eliminate the symptoms of intoxication and provide complete care for children. In infants, the disease often flows in a light form.
Forecast treatment
Enterovirus infection does not represent much danger to the children's body. Most often, after a few days, reconnaissions (recovery) comes. The forecast may deteriorate in the development of meningitis or encephalitis. Sometimes the coke virus leads to the affix of the heart and respiratory failure. Danger for children is a generalized form of the disease. Sometimes a secondary infection is joined.
The consequences of the disease can be:
- an increase in intraocular pressure;
- cataract;
- reduction of visual acuity;
- paralysis;
- violation of the function of the small pelvis organs;
- heart failure.
In severe cases, in the absence of treatment, a fatal outcome is possible.
Treatment with stem cells
The method of treatment in children enterovirus infection is the use of stem cells. They contribute to the regeneration of damaged tissues and accelerate recovery. The use of stem cells is possible in cardiovascular disorders on the background of infection with the coking virus, immunodeficiency and brain dysfunction. Such treatment is expensive and practiced only in separate clinics.
Medications
The diagram of therapeutic measures in enterovirus infection is a reception of drugs. The following drugs are prescribed most often: 
- antipyretic;
- antiemetic;
- antiviral;
- NSAIDs;
- spasmolytics;
- immunoglobulins;
- antihistamines.
Antibiotics do not act on the coke virus. These drugs can be assigned in the event of an attachment of the secondary (bacterial) infection. With the easiest course of the disease, they are not used, since unwanted reactions may be observed. According to the testimony, immunoglobulins are appointed. These medicines contribute to improving immunity, which speeds up recovery.
Reception of specific antiviral drugs is effective only in the first hours from the beginning of the development of the disease. In the height of enterovirus infection caused by the cokes, they do not apply. With pronounced symptoms of intoxication, immunoglobulin is introduced. In the case of lesion of the skin and strong itching, the Blockers of H1-histamine receptors (Zoda, Clemestine, Zirtek) are shown.
With pain in the throat, antiseptics are prescribed in the form of solutions for rinsing or aerosols. With a cold and nasal congestion, alpha adrenomimetics (sanarin, naphtizin, tizin Ksyl) are shown. If the cokesak caused a fever, then the treatment regimen includes antipyretic (Panadol, paracetamol MS, ECRACRULANGAN). In the case of myocarditis or meningitis, systemic corticosteroids are used. Taking these drugs with a light course of the disease should be avoided due to the fact that they suppress the immune system.
Preventive measures
Specific prophylaxis of enterovirus infection has not been developed. To protect yourself from the coke virus, you need to adhere to the following recommendations: 
- boil water before use;
- wash your hands before taking food;
- thoroughly wash vegetables, fruits and berries;
- do not water edible plants with water from contaminated water bodies;
- do not swim in rivers, ponds and lakes during the outbreaks of enterovirus infection;
- use alcohol-based antiseptics.
If the child is infected with the cokes virus, then the secondary prevention is shown. It is aimed at preventing infection in contact with people. For this purpose, quarantine events are held. In the epidemiological focus, disinfection is organized. When contacting a sick child, instillations (instillation) of leukocyte interferon can be carried out. Prevention of infection of newborn babies implies timely treatment of the disease in the future mother.
The news about the outbreak of infection by this virus stirred rows of holidaymakers in hot countries and their compatriots who spend the summer at the resorts of Russia. Citizens are hurried by the "epidemic", the citizens are hastily looking for a panacea, and those who have vacation are still ahead, in a panic decide to completely abandon those purchased in advance on the coast. And if you cool and calmly understand what this virus is with the mysterious name of the cokes and what disease does it cause?
Who is Koksaki?
These enteroviruses were accidentally discovered in 1949, when the American scientist Gilbert Daldrof explored the feces patients with polio to create a medicine or vaccine. Attempting to create a remedy for poliomyelitis failed, but Dalldrof went down in history as the opener of enteroviruses, which he gave the name of Coxica - named a small town on the Hudson River, from where the scientist received the first samples of material for research.
Despite the pretty exotic sonorous name, the cokes viruses do not represent anything superradicted. These are ordinary enteroviruses that feel well in the gastrointestinal tract of a person. They are common worldwide, their activity depends on the season and climate.
Enterovirus infections are the usual matter in the summer and early autumn in countries with temperate climate, and in halftropics and tropics throughout the year. At the same time, the number of sicks each year is approximately the same. So rumors about the epidemic collecting unprecedented harvest is this year, to put it mildly, do not correspond to reality. How they do not fit both the risks on the danger of diseases associated with the coke virus.
Hand foot-mouth
This is not an empty set of nouns describing parts of the body, is the name of the disease that develops due to infection by enteroviruses and including the cokes virus. Most often it amazes babies and babies under 5 years, but the incidence of both school-age and adults is not excluded.
It all starts like the flu: with a sharp increase in temperature, reducing appetite and weakness. But unlike influenza after 1-2 days in the mouth, small red races appear in the mouth, which turn into ulcers - this condition is called a herpentine. Of course, it does not have anything in common with herpes virus - simply resembles herpetic lesions.
At the same time, "color" with pink stains (sometimes with blisters, like with wind inspection) palms and soles of legs, justifying the funny name of the disease. The rash can also appear on his knees, elbows, buttocks, in the field of genitals. Sometimes (but not always) the nails are amazed: they can get out, crack, and then compress them at all. Fortunately, this process usually proceeds painlessly, and the nails are safely growing again.
With a good immune response, especially in children, the asymptomatic course of the disease is possible, while the person himself is not knowing, is a source of infection. Viruses are contained in the discharge from the nose and the throat of the patient, the liquid, which is distinguished from peptic lesions, and feces.
Infection occurs during personal contact, with particles of saliva when coughing or sneezing, as well as when touched polluted surfaces (door handles, household items, etc.). Infectious patients can be up to complete recovery, although the maximum probability of "give a friend to a friend" is maintained during the first week from the day of the fever.
Will we treat or do it live?
With the question "Who is to blame?" We dealt out, there was no less burning and traditional "what to do?". And there is nothing to do and nothing. Enterovirus infection, as, in fact, and most diseases associated with viruses are not subject to treatment. No antiviral tools, interferons or homeopathic pills can not change the course of the disease.
Recovery occurs "automatically", on average after 7 days, when enteroviruses will delay themselves. In the meantime, the disease in full swing should be performed one simple, but an important rule is to compensate for the loss of fluid to avoid dehydration of the body. Conventional drinking water, compote or special regidation mixtures will help, better - cold to reduce the sensitivity of pain receptors and reduce sore pain.
At high temperatures or pain syndrome, antipyretic and analgesics are shown, for example paracetamol (Panadol). The patient before recovery should not go outside or in the place of the cluster of people, since it is a source of infection. To reduce the likelihood of infection of relatives, it would be good to strengthen the sanitary vigilance: to air the premises, carry out regular cleaning, to provide a patient with individual dishes and hygiene objects. If the infection "found" you on vacation, focus on the frequent washing the hands of hot water with soap.
Complications: rarely, but aptive
In the overwhelming majority of cases, the Hand-Noga-Roth syndrome is not bad and passes without a trace. However, occasionally the disease can give a rather serious complication - serous meningitis. Therefore, when such symptoms appear as headache, stiffness in the neck and pain in the back, you should immediately call a doctor. All other problems associated with the coke virus are solved almost by themselves. The chief instruction of this disease is time, and quite short. And, of course, Coksaki is not the reason why deprivation of a long-awaited vacation in the resort.
Marina Pozdeev
Photo istockphoto.com