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Published on August 14, 2019 | http://doi.org/10.5867/medwave.2019.07.7683

A case report of hand, foot, and mouth disease with necrotizing mucocutaneous lesions

Reporte de caso de enfermedad mano-pie-boca con lesiones mucocutáneas que evolucionan a necrosis

Janett Velástegui, Ligia Cova, Yomaira Galarza, Pablo Fierro, Lenier León Baryolo, Alberto Bustillos

Abstract

In most cases, the cause of hand, foot, and mouth disease (HFMD) is coxsackievirus A type 16. The infection can also be caused by other strains of coxsackievirus, spreading mainly by the oral-fecal route, while it is less likely to be transmitted through secretions. HFMD occurs mainly in summer and is more common in children under ten. Skin lesions develop during the disease but rarely become necrotic. When present, they are a severe complication requiring hospitalization. This paper reports the case of a patient with HFMD who developed necrotic mucocutaneous lesions that responded favorably to intravenous acyclovir, fluids, and electrolyte support therapy.

Only Spanish version is available. 

 

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Authors

Janett Velástegui

Hospital General Docente Ambato, Unidad de Pediatría, Ambato, Ecuador

https://orcid.org/0000-0002-3921-1185

Ligia Cova

Hospital General Docente Ambato, Unidad de Pediatría, Ambato, Ecuador

https://orcid.org/0000-0002-5586-6130

Yomaira Galarza

Hospital General Docente Ambato, Unidad de Pediatría, Ambato, Ecuador

https://orcid.org/0000-0002-7055-6149

Pablo Fierro

Hospital General Docente Ambato, Unidad de Pediatría, Ambato, Ecuador

https://orcid.org/0000-0002-6380-2882

Lenier León Baryolo

Carrera de Medicina, Facultad de Ciencias de la Salud, Universidad Técnica de Ambato, Ambato, Ecuador

https://orcid.org/0000-0002-8140-4140

Alberto Bustillos

Hospital General Docente Ambato, Unidad de Pediatría, Ambato, Ecuador

aa.bustillos@uta.edu.ec.

Avenida Colombia y Chile CP 180104, Ambato, Tungurahua

https://orcid.org/0000-0002-4409-8113

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History

Citation Velástegui J, Cova L, Galarza Y, Fierro P, León Baryolo L, Bustillos A. A case report of hand, foot, and mouth disease with necrotizing mucocutaneous lesions. Medwave 2019;19(07):e7683 doi: 10.5867/medwave.2019.07.7683

Submission date 20/03/2019

Acceptance date 07/07/2019

Publication date 14/08/2019

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Notes

Keywords

hand, foot and mouth disease, necrosis, enterovirus

Origin and peer review

con revisión por pares externa por dos pares revisores, a doble ciego

References

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