Infection: Enteroviruses

Question 1

Give examples of human enteroviruses

Answer 1

Coxsackie viruses
Echoviruses
Polioviruses

Question 2

Are enteroviruses a common cause of childhood infection?

Answer 2

Yes

Question 3

How are they transmitted?

Answer 3

Faecal oral
Respiratory droplets

After replication in pharynx and gut, the virus spreads to infect other organs

Question 4

What percentage of infections are asymptomatic?

Answer 4

Over 90%
Or cause non specific febrile illness, sometimes with a rash usually over trunk that in blanching or consists of fine petechiae

Question 5

Is the child usually systemically unwell?

Answer 5

No

Question 6

What causes Hand-Foot-Mouth Disease?

Answer 6

Coxsackie A16

Question 7

What age group does hand-foot-mouth disease affect?

Answer 7

Children under 10

Question 8

What are the initial symptoms associated with hand-foot-mouth disease?

Answer 8

High temperature
Feeling unwell
Cough
Sore throat

Question 9

After the initial phase, how does hand-foot-mouth disease present?

Answer 9

Red spots on tongue and mouth that develop into painful ulcers
Spots on hands and soles that become blisters

Question 10

In hand-foot-mouth disease are the vesicles painful?

Answer 10

Yes

Question 11

How long do the spots on the hands and soles in hand-foot-mouth disease typically last?

Answer 11

10 days