- Less-common causes include echovirus, parechovirus 1, adenovirus, and herpes simplex virus (HSV).
- Enterovirus 71 has emerged as an important public problem, causing severe clinical illness and, potentially, death in young children. Enteroviruses that cause herpangina belong to the Picornaviridae family.
- Sudden sore throat, with redness, inflammation andpainful swallowing.
- General ill feeling.
- Vomiting and abdominal pain (sometimes).
- Tiny blisters (vesicles) in the affected areas. The blisters become small ulcers.
- Antipyretics (eg, acetaminophen, ibuprofen).
- Topical analgesics (eg, topical lidocaine).
- Special mouthwash with analgesic medication may be prescribed by a physician for those with pain. Children should be encouraged to drink fluids to avoid dehydration.
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