Case Report
Medwave 2019;19(7) doi: 10.5867/medwave.2019.07.7683

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

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


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.


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