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[balita-anda] Coxsackie Virus (HFMD) article

mamanya Dafi
Sun, 12 Nov 2000 18:39:46 -0800

Berikut sumber lain mengenai HFMD, semoga berguna.

Mamanya Dafi

What is the coxsackie virus? 
The coxsackie A virus (which gets its name from
Coxsackie, New York, the city where the virus was
first identified) causes two common but unpleasant
childhood illnesses: hand, foot, and mouth syndrome,
and herpangina. The virus spreads easily from mouth to
mouth, or from feces to hand to mouth, and usually
strikes children between the ages of 6 months and 4
years. It's highly contagious and easily transmitted
through coughing and sneezing. Not surprisingly,
outbreaks are common in daycare centers. In very rare
cases, the coxsackie B virus can cause meningitis and
an inflammation of the heart. 
What are the signs of coxsackie? 
Symptoms can vary, depending on which form of the
illness a child comes down with and the severity of
the case. With hand, foot, and mouth syndrome, your
child may have few or no symptoms, or will get small,
blister-like sores in his mouth, on the palms of his
hands, and on the bottoms of his feet. The sores may
also show up on his bottom, and in rare cases on the
arms, legs, or face. (Coxsackie should not be confused
with chicken pox, which starts out as a rash that
looks like "a dewdrop on a rose petal"; that is, a
clear water blister on a pink base. These blisters
eventually darken and crust over.) Your child will
probably be feverish and crankier than normal, and
have a sore throat. The sores can be painful,
particularly when your child walks. It takes three to
seven days for the first symptoms to appear, about
three to four days for the fever and discomfort to go
away, and a week to 10 days before the blisters
disappear. Not all children get the same symptoms —
some may have only a rash and a slight fever. The
telltale signs of herpangina are painful grayish white
blisters in the back of the mouth, sometimes
accompanied by vomiting, diarrhea, fatigue, and a sore
throat. The ulcers are truly horrifying to look at,
and are particularly miserable
for your child, who won't be able to eat or drink. 
Should I call the doctor? 
Yes, though she won't be able to do much. However, if
your child's fever rises higher than 103 degrees F or
doesn't subside after four to five days, your doctor
will probably want to see him. Dehydration is a
concern
because your child may not want to drink anything
because of the mouth sores. If your child refuses all
liquids and is urinating less than usual, definitely
call your doctor. 
How can I best care for my child while he's sick with
the virus? 
If your toddler gets a bad case of coxsackie, you'll
have to hunker down and draw on all your parenting and
nursing skills. Moms and dads who've weathered bouts
of herpangina describe the experience as "hellish,"
"horrible," and "utterly miserable." Your child will
likely be extra clingy and very cranky for several
days. The painful sores in his mouth may cause him to
reject food and liquids, including milk, so you'll
have to make extra sure he doesn't get dehydrated. It
may be easier for your child to sip from a cup than a
bottle or sippy cup. Cold drinks and Popsicles can
ease the pain. If your doctor okays it, acetaminophen
can help keep the fever down and ease some of the
pain.
One way to temporarily numb the pain in your toddler's
mouth is to dip a Q-tip in a 1:1 solution of Maalox
and liquid Benadryl, then gently coat the inside of
your toddler's mouth with the solution. The
combination of these two common over-the-counter
medicines coats and soothes the sores. (In severe
cases,your doctor may recommend adding the
prescription medicine mycostatin to the mix.)If your
child has a relatively mild illness, you won't have to
do much beyond making sure he's taking in enough
liquids and food, and watching his temperature.
Because your toddler is most contagious before
symptoms show up, it's probably too late to prevent
the spread of the virus to other children. Still,
because your child may be miserable, you'll want to
keep him home from daycare until he starts feeling
better. 
Can my toddler get it more than once? How can I
prevent it?
Yes, your child can come down with it again, but it's
rare for anyone to get it more than once. As with
colds, your toddler will be immune to the virus he
already had, but there are many strains of coxsackie.
And also as with colds, you can take precautions such
as washing your hands regularly and trying to avoid
infected children, but it's impossible to completely
prevent a child from catching the illness if he's
exposed to an infected person. 
Can adults get coxsackie? 
Yes, although it's rare for an adult to suffer to the
same extent as a child. Still,if you've never been
exposed to the virus before, you may get small
blisters on your hands and feet, and feel lousy, too.
Although the blisters are small, they are painful. 
What if I'm pregnant when my toddler comes down with
coxsackie? Is the baby at risk? 
If you are pregnant and are exposed to the virus, the
chance your fetus will be affected is very small, but
mention it to your OB / GYN. Wash your hands
frequently after changing your older child's diapers
or tending to your sick child's needs — or wear gloves
— to keep your exposure to a minimum. 
----end----

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