Diagnosis and treatment of herpangina: Chinese expert consensus

• Published in: World journal of pediatrics : WJP Vol. 16; no. 2; pp. 129 - 134
• Main Authors: Yu, Hui, Li, Xing-Wang, Liu, Quan-Bo, Deng, Hui-Ling, Liu, Gang, Jiang, Rong-Meng, Deng, Ji-Kui, Ye, Ying-Zi, Hao, Jian-Hua, Chen, Ying-Hu, Nong, Guang-Min, Shen, Zhao-Bo, Liu, Chang-Shan, Zou, Ying-Xue, Wu, Jin-Zhun, Wu, Xing-Dong, Chen, Bi-Quan, Luo, Ru-Ping, Lin, Ai-Wei, Chen, Yan, Liu, Xiao-Dong
• Format: Journal Article
• Language: English
• Published: Singapore Springer Singapore 01.04.2020; Department of Infectious Diseases, Children's Hospital of Fudan University, Shanghai, China%Infectious Disease Diagnosis and Treatment Center, Beijing Ditan Hospital Capital Medical University, Beijing, China%Department of Infectious Diseases, Children's Hospital of Chongqing Medical University, Chongqing, China%Department of Infectious Diseases, The Children's Hospital of Xi'an, Xi'an, China%Department of Infectious Diseases, Beijing Children's Hospital, Capital Medical University, Beijing, China%Department of Infectious Diseases, Shenzhen Children's Hospital, Shenzhen, China%Department of Internal Medicine, Children's Hospital of Kaifeng City, Kaifeng, China%Department of Infectious Diseases, The Children's Hospital-Zhejiang University School of Medicine, Hangzhou,China%Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China%Pneumology Department, Henan Children's Hospital, Henan,China%Department of Pediatrics, The Second Hospital of Tianjin Medical University, Tianjin, China%Department of Infectious Diseases, Tianjin Children's Hospital, Tianjin, China%Department of Pediatric Pneumology, The First Affiliated Hospital of Xiamen University, Xiamen, China%Department of Pediatrics, Xiamen Maternal and Child Health Care Hospital, Xiamen, China%Department of Infectious Diseases, Anhui Provincial Children's Hospital, Hefei, China%Department of Infectious Diseases, Hunan Children's Hospital, Hunan, China%Department of Infectious Diseases, Qilu Children's Hospital of Shandong University, Shandong, China%Department of Pediatrics Internal Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, China
• Subjects: Child; China; Critical Care Medicine; Decision Trees; Diagnosis, Differential; Herpangina - diagnosis; Herpangina - therapy; Humans; Imaging; Intensive; Maternal and Child Health; Medicine; Medicine & Public Health; Pediatric Surgery; Pediatrics; Radiology; Review Article; Surgery; China; Herpangina; Treatment; Diagnosis; Consensus
• ISSN: 1708-8569; 1867-0687
• DOI: 10.1007/s12519-019-00277-9

Background Herpangina is a common infectious disease in childhood caused by an enterovirus. This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis. Methods The Subspecialty Group of Infectious Diseases, the Society of Pediatric, Chinese Medical Association and Nation Medical Quality Control Center for Infectious Diseases gathered 20 experts to develop the consensus, who are specialized in diagnosis and treatment of herpangina. Results The main pathogenic serotypes of herpangina include Coxsackievirus-A, Enterovirus-A and Echovirus. Its diagnosis can be rendered on the basis of history of epidemiology, typical symptoms, characteristic pharyngeal damage and virological tests. The treatment is mainly symptomatic, and incorporates topical oral spray with antiviral drugs. The course of herpangina generally lasts 4–6 days with a good prognosis. Conclusion The consensus could provide advices and references for the diagnosis, treatment and management of herpangina in children.