Group B coxsackieviruses tend to infect the heart, pleura, pancreas, and liver, causing pleurodynia, myocarditis, pericarditis, and hepatitis. Coxsackie B infection of the heart can lead to pericardial effusion. Muffled heart sounds and pulsus paradoxus are signs of this.
The development of insulin-dependent diabetes (IDDM) has recently been associated with recent enteroviral infection, particularly coxsackievirus B pancreatitis. This relationship is currently being studied further.
What are the signs and symptoms of Coxsackie Virus?
The most frequent signs and symptoms of Coxsackie Infection start with fever, soar throat, feeling tired, and poor appetite. These sign will last about two or three days. Sores will develop after two or three days of fever and will cause a small blister that often ulcer. Some times people with this disease will have a itches on they palms of the hands and soles of the feet. These symptoms last about seven to ten days before they recovers completely.
How do people get infected and the risk factors?
Infection usually is spread by fecal-oral contamination, although occasionally the virus is spread by droplets expelled by infected individuals. Items like utensils, diaper-changing tables, and toys that come in contact with body fluids that contain the virus may also transmit them to other individuals. Although people of any age can get infected, the majority of patients identified with Coxsackie infection are children. Pregnant women can pass Coxsackie virus to their newborns, which may cause serious problems for the newborn, so pregnant women need to notify their obstetrician if they exhibit symptoms of the infection, especially if they are near their delivery date.
Risk factors for Coxsackie virus infection include physical contact with any patient with individuals with HFMD symptoms. Infectious virus can be found in feces, saliva, fluid in blisters, and nasal secretions. Even patients who have recovered and have no symptoms may still shed infectious virus for weeks.
What are the treatment?
There is no specific treatment for this typically self-limited disease (the symptoms resolve without specific antiviral treatment in about two to 10 days). However, symptomatic treatment (acetaminophen [Tylenol]) that reduces fever and discomfort is currently recommended. Mouthwashes and sprays may lessen the oral discomfort. Fluids are also suggested to prevent dehydration, however, acidic juices may irritate the mouth ulcers. Cold milk may sooth the oral discomfort.
Some physicians usetopical diphenhydramine (Benadryl) containing gel or liquids to treat the hand and foot discomfort.The relatively rare complications of Coxsackie virus infections (for example, heart or brain infection) require special individualized treatments usually administered by an infectious disease consultant.
There is no vaccine to prevent coxsackievirus infection. Hand washing is the best protection. Remind everyone in your family to wash their hands frequently, particularly after using the toilet (especially those in public places), after changing a diaper, before meals, and before preparing food. Shared toys in child-care centers should be routinely cleaned with a disinfectant because the virus can live on these objects for days.