Coxsackie virus in Anapa: features of the manifestation, symptoms and treatment
Coxsackie virus cases in Anapa are detected annually. This "heat-loving" infection is common in resorts. However, this does not mean that it is a specific virus, characteristic exclusively for southern latitudes. Infection can occur in the middle zone of Russia, especially in the summer and early autumn. Most often, children are infected, in adults, the disease is less common. There were cases of family infection, when the sick child was infected with parents.
What is the Coxsackie virus?
Coxsackie virus belongs to the enterovirus group. The disease is transmitted by airborne droplets, through food, drink and dirty hands. You can get infected and contact with saliva and feces of the patient. An intrauterine route of infection from mother to fetus has also been identified.
When ingested, the virus lives and multiplies in the intestine. Hence its name - enterovirus. But the infection affects primarily not the digestive tract, but causes a general intoxication of the body, which is manifested by fever and rash.
A baby up to 1 year old is rarely infected with this virus, since mother's milk has immune properties. Most often, children from 1 to 10 years old fall ill. Adult people become less likely to become infected, because they have stronger defenses.
Infection is very easily transmitted, after contact with the pathogen, 98% of people get sick. It is very easy to get infected in crowded resorts, it is with this that the more frequent incidence of the Coxsackie virus in Anapa is associated with the middle stripe of Russia.
There are many strains of this virus. After the transferred illness the person develops immunity, but only against a certain serotype of the infection.
Symptoms of the disease
Viral infection Coxsackie is not a new disease. It is well known to pediatricians and infectious disease specialists, like hand-foot-mouth syndrome. The name is associated with the main manifestations of pathology: a rash on the upper and lower extremities and signs of stomatitis. Another name for the disease is enterovirus vesicular stomatitis with exanthema.
Do any of the features of the Coxsackie virus manifest in Anapa? Symptoms of the disease are the same for all regions. Regardless of where the infection occurred, the signs of enterovirus infection will not be different.
The incubation period lasts from 2 to 10 days. The disease begins acutely and proceeds with the following symptoms:
- Body temperature rises to 39-40 degrees. There is a general malaise, an ache in the body, weakness.
- Diarrhea occurs. The frequency of the stool is several times a day.
- There is redness in the throat, pain when swallowing.
- On day 2-3 of the disease, a rash appears on the palms and feet in the form of small convex spots of red color. Then they become like bubbles( vesicles) and resemble rashes with chicken pox. In the mouth appear sores, as with stomatitis.
- Eruptions are painful, the patient is worried about severe itching. The child often refuses to eat and drink because of pain when swallowing. The rash on the feet may look like small red calluses. It can hurt when walking.
- There is soreness when you press the nails.
In children and adolescents, the disease can occur in the form of herpangina. It is important to know that this pathology has nothing to do with herpes and is caused by the Coxsackie virus. There are the same signs as in the "hand-foot-mouth" syndrome, but the inflammation of the throat is more pronounced.
The acute period of the illness lasts 7-10 days. Then the symptoms gradually subside, the rash pale. After 2-3 weeks on the affected areas begins to peel skin. This process should not be interrupted. Skin covers in the area of rashes should be completely renewed.
After about 3-4 weeks, the nail exfoliation on the fingers and toes may occur. Parents of sick children are often frightened by this phenomenon. However, the fears are in vain, this is a natural process. The detachment is due to the fact that during the illness the rashes are formed not only on the outer skin but also under the nails.
After recovery, the infection remains in the intestine for 10 to 21 days. During this period a person can become a source of infection. In some patients, the virus can remain in the body for a long time after the disappearance of all acute symptoms. In this case, the person feels healthy, but is a virus carrier.
Complications of the disease
What is so terrible about Coxsackie? In itself, the disease is not dangerous if it occurs in the form of a "hand-foot-mouth" syndrome. However, some strains of the virus can affect the central nervous system and lead to meningitis and poliomyelitis-like manifestations. Unlike other brain infections, diseases caused by the Coxsackie virus have a more favorable prognosis and result in complete recovery.
The disease can give complications to the heart and the central nervous system. This leads to myocarditis and meningoencephalitis. Boys may have testicular inflammation - orchitis. However, such consequences are rare.
Newborns are rarely infected with the virus. But in infants, the disease is difficult in the form of meningoencephalitis with heart failure, which is a threat to the life of the baby.
Coxsackie virus infection is dangerous for pregnant women. In the first months of gestation, the disease increases the likelihood of miscarriage. If a woman falls ill shortly before childbirth, then she can transmit the virus to the baby.
Diagnosis of the disease
If infection occurs with the Coxsackie virus in Anapa or other resorts, you should contact your doctor as soon as possible. Diagnosis of this disease is often difficult. Symptoms of enterovirus infection resemble manifestations of other pathologies: chicken pox, herpes, measles.
Sometimes rashes in Coxsackie are confused with allergies. In the early days of the disease there is no rash, only high fever and diarrhea are observed. For this reason, enterovirus infection is often mistaken for "gastric flu", so the popular name is rotavirus.
Symptoms and treatment for an infection caused by the Coxsackie virus can only be determined by an experienced physician. Assign the following methods of investigation:
- PCR diagnostics. This method helps to find the RNA of the virus in urine, feces or flushing from the nasopharynx.
- Detection of antibodies to infection in a blood test.
How to treat Coxsackie?
No specific treatment for the virus has been developed. Only symptomatic therapy is used. After 8-10 days the body copes with the disease itself. However, enterovirus infection has unpleasant manifestations and it takes a long time to endure fever, itching and pain are very difficult. To ease the patient's condition, you can use the following methods:
- Use as much liquid as possible. Because of the inflammation of the throat and rashes in the mouth, the patient is very difficult to swallow. But you need to drink, it will help reduce the intoxication of the body.
- Take activated charcoal to remove toxins.
- Use "Paracetamol" at high temperature."Ibuprofen" and other non-steroidal anti-inflammatory drugs do not reduce fever with enterovirus infection.
- With severe itching, you can take antihistamines: Suprastin, Tavegil, Claritin.
- If the patient is concerned about pain in the area of rashes, then the use of analgesics is indicated: analgin, baralgina, "Ketanov".
- It is useful to rinse your throat and mouth with a decoction of chamomile or soda.
- The patient should be given a mashed food at room temperature, so as not to irritate the sore throat and mouth.
- The drug "Acyclovir" is effective in the treatment of herpes, but almost does not affect the Coxsackie virus. Antiviral drugs interferon series help only in the first hours of the disease.
- Antibiotics for this disease are useless.
Than to process a rash in Coxsackie?
In case of enterovirus infection, rashes should not be treated with hormonal ointments. They negatively affect the immunity, which is necessary for the body of the patient to fight infection.
With strong itching, ointments "Fenistil", "Kalamin", "Tsindol" will help. If the vesicles are opened, then the drug "Povidone iodine" should be applied to the affected areas.
It is very important to avoid suppuration of rashes. When the vials are opened, it is necessary to lubricate the rash with bactericidal ointment "Bactroban".
How to treat the consequences of the disease?
After recovery, the patient usually descends into the area of the rash. It is not necessary to combat this phenomenon. You can only apply softening creams on the skin from time to time. Renewal of the affected skin is a natural process.
If a child or adult has no nails after a Coxsackie infection, then this should not be alarming. Doctors do not recommend cutting their nails in such a period to prevent them from falling off. But nothing dangerous in such a symptom. Within 3-6 months new nail plates grow.
Is there an epidemic of the virus?
In the summer of 2017, there were reports of increased cases of the Coxsackie virus in Turkey. Treatment and peculiarities of the disease course frightened many parents who wanted to relax with children in this country. However, the Turkish virus is no different from the usual enteroinfection, which causes the "hand-foot-mouth" syndrome. This disease can be obtained, even without ever leaving your hometown and not leaving for overseas southern resorts.
With what was associated a relatively high incidence in Turkey in the summer of 2017?Usually at resorts people, and especially children, get infected much faster. Many vacationers visit the pool, and in the water the infection spreads very easily.
In addition, the crowding of people in hotels and on the beaches is quite large. Tourists contact each other, visiting animation and other entertainment activities. In such conditions, the infection is transmitted very quickly. It is enough to get sick of one child, after some time already several children feel signs of a sharp indisposition.
It can not be said that there was an epidemic of the Coxsackie virus in Turkey. Such outbreaks are often observed in resort towns. Because of the high virulence of this microorganism, the disease is transmitted quickly. There are cases of infection with the Coxsackie virus in Sochi and other cities of the Krasnodar Territory.
Can I get a virus in Russian resorts?
Often tourists are interested in the question of whether the Coxsacki virus is often found in Anapa? The disease is usually observed in the form of isolated cases. The probability of infection with enterovirus is the same as in other resort cities. Hot weather and high population density can trigger infection.
Sometimes it is possible to meet reports that the Coxsacki virus reached Sochi from Turkey. However, one can not talk about the spread of the disease. Of course, there were cases of imported infection. For example, a sick child came from a resort and infected other children in the kindergarten or school. But cases of infection with the Coxsackie virus on the Black Sea do not mean that the disease spreads from Turkey to other regions. A person can get infected directly at the Black Sea resort. The outbreak of the Coxsackie virus in Turkey and the cases of the disease in Russian southern cities may be unrelated.
It is difficult to say how widespread the infection is in the south of Russia. It is possible that many cases of enterovirus have not been identified. Sometimes even doctors find it difficult to diagnose this disease and take Coxsackie symptoms for herpes, allergies or chickenpox.
How to protect yourself from the virus?
All parents traveling with children to the resort need to know the symptoms of the Coxsackie virus. Preventing the disease is to prevent infection. Vaccines against the virus currently does not exist. To minimize the likelihood of infection, the following rules should be observed:
- Regularly wash hands.
- Clean and rinse all objects with which the baby touches.
- Take vitamins to strengthen immunity.
- If possible, avoid swimming in shared pools.
- If the hotel already has cases of enterovirus infection, you should refrain from visiting animation events and game rooms.
- If the child has a fever, rash and diarrhea, it is necessary to isolate it from other children so as not to endanger their risk of infection.
- Pregnant women should avoid contact with sick children.
Compliance with these guidelines will reduce the risk of infection. And then the child will remain healthy, and the rest will not be spoiled by a sudden illness.