Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case)
In the presented clinical case, the combination of two pathogens (enterovirus and streptococcus) caused a severe and atypical course of the hand-foot-mouth syndrome in a child of primary school age. EVI from the first days of the disease represented by the typical localization of the primary element...
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| Format: | Article |
| Language: | Russian |
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Journal Infectology
2021-03-01
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| Series: | Журнал инфектологии |
| Subjects: | |
| Online Access: | https://journal.niidi.ru/jofin/article/view/1187 |
| _version_ | 1797702668990283776 |
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| author | I. L. Horishna L. A. Volyanskaya O. N. Dyvonyak O. R. Boyarchuk E. I. Burbela U. M. Mudryk |
| author_facet | I. L. Horishna L. A. Volyanskaya O. N. Dyvonyak O. R. Boyarchuk E. I. Burbela U. M. Mudryk |
| author_sort | I. L. Horishna |
| collection | DOAJ |
| description | In the presented clinical case, the combination of two pathogens (enterovirus and streptococcus) caused a severe and atypical course of the hand-foot-mouth syndrome in a child of primary school age. EVI from the first days of the disease represented by the typical localization of the primary elements of the rash and the characteristic intoxication syndrome was confirmed by the detection of enterovirus RNA in the feces. The course of the disease was undulating. In the first wave, skin rashes accompanied by soreness and itching corresponded to the classical EVI in terms of the nature of the elements, their localization and were combined with lesions of the epithelium of the oral mucosa. Starting from the 5th day of the disease, against the background of an increase in the severity of intoxication syndrome, bullous elements appeared on the skin of the extremities, an excess of the permissible values of antistreptolysin-O was found 12 times, and when sowing material from cracks in the corner of the mouth, Streptococcus pyogenes 106 KUO was isolated, which indicated a combination of the syndrome Hand-foot-mouth with streptococcal infection. Onychomadesis in the period of convalescence retrospectively testified to the dominant role of enterovirus in the presented clinical case. |
| first_indexed | 2024-03-12T04:53:23Z |
| format | Article |
| id | doaj.art-f9edc0ee6ff24778acaaaa483dfcf001 |
| institution | Directory Open Access Journal |
| issn | 2072-6732 |
| language | Russian |
| last_indexed | 2024-03-12T04:53:23Z |
| publishDate | 2021-03-01 |
| publisher | Journal Infectology |
| record_format | Article |
| series | Журнал инфектологии |
| spelling | doaj.art-f9edc0ee6ff24778acaaaa483dfcf0012023-09-03T09:18:30ZrusJournal InfectologyЖурнал инфектологии2072-67322021-03-0113112412910.22625/2072-6732-2021-13-1-124-129899Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case)I. L. Horishna0L. A. Volyanskaya1O. N. Dyvonyak2O. R. Boyarchuk3E. I. Burbela4U. M. Mudryk5Тернопольский национальный медицинский университет им. И.Я. ГорбачевскогоТернопольский национальный медицинский университет им. И.Я. ГорбачевскогоТернопольская городская детская клиническая больницаТернопольский национальный медицинский университет им. И.Я. ГорбачевскогоТернопольский национальный медицинский университет им. И.Я. ГорбачевскогоТернопольский национальный медицинский университет им. И.Я. ГорбачевскогоIn the presented clinical case, the combination of two pathogens (enterovirus and streptococcus) caused a severe and atypical course of the hand-foot-mouth syndrome in a child of primary school age. EVI from the first days of the disease represented by the typical localization of the primary elements of the rash and the characteristic intoxication syndrome was confirmed by the detection of enterovirus RNA in the feces. The course of the disease was undulating. In the first wave, skin rashes accompanied by soreness and itching corresponded to the classical EVI in terms of the nature of the elements, their localization and were combined with lesions of the epithelium of the oral mucosa. Starting from the 5th day of the disease, against the background of an increase in the severity of intoxication syndrome, bullous elements appeared on the skin of the extremities, an excess of the permissible values of antistreptolysin-O was found 12 times, and when sowing material from cracks in the corner of the mouth, Streptococcus pyogenes 106 KUO was isolated, which indicated a combination of the syndrome Hand-foot-mouth with streptococcal infection. Onychomadesis in the period of convalescence retrospectively testified to the dominant role of enterovirus in the presented clinical case.https://journal.niidi.ru/jofin/article/view/1187энтеровирусная инфекциясиндром «рука-нога-рот»стрептококковая инфекциядети |
| spellingShingle | I. L. Horishna L. A. Volyanskaya O. N. Dyvonyak O. R. Boyarchuk E. I. Burbela U. M. Mudryk Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case) Журнал инфектологии энтеровирусная инфекция синдром «рука-нога-рот» стрептококковая инфекция дети |
| title | Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case) |
| title_full | Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case) |
| title_fullStr | Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case) |
| title_full_unstemmed | Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case) |
| title_short | Hand, foot and mouth disease associated with streptococcus infection in a child (clinical case) |
| title_sort | hand foot and mouth disease associated with streptococcus infection in a child clinical case |
| topic | энтеровирусная инфекция синдром «рука-нога-рот» стрептококковая инфекция дети |
| url | https://journal.niidi.ru/jofin/article/view/1187 |
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