Tomato flu may be a common disease in children;  understand

Tomato flu may be a common disease in children; understand

Last week, India recorded more than 100 cases of tomato flu in Kerala and Odisha states. The new disease causes a fever and round, red lesions on the skin that look like tomatoes, hence the name. A case study was published in Pediatric Journal of Infectious DiseasesHowever, he notes, the condition may be a variation of hand, foot, and mouth disease, which is common in children.

In the study published on August 19, researchers evaluated two brothers who had traveled to Kerala state. The parents said they played with children who had already recovered from the disease. The family returned to the UK, where they live, and within a week of arriving home, the children began showing symptoms.

The 13-month-old girl and her 5-year-old brother developed ulcers on the hands and legs without fever. Two days later, the girl developed lesions in her mouth that led to excessive drooling, while the boy’s wounds began to heal.

Hand, foot, and mouth disease is caused by a virus from the enterovirus family and can infect anyone, although it is most prevalent in children up to 5 years of age. It is very contagious and is usually associated with viruses. Coxsackie A16And the EV A71And the Coxsackie A6And the Coxsackie b And the echo virus.

The children performed PCR tests on the lesions to assess the presence of enteroviruses. The girl also took samples for monkeypox, because the team suspected the wounds were due to the current outbreak – and the result was negative.

When they analyzed the samples, the team determined the presence of the virus. Coxsackie A16one of the main causes of hand, foot and mouth infections.

Records show children’s wounds

Photo: Journal of Pediatric Infectious Diseases

The disease progressed without risk for both children. On the sixth day, the boy’s wounds began to heal without wounds, while his sister practically disappeared on the 16th day, according to the case study.

Tomato flu was reported in an article published in The Lancet on August 17, indicating that the disease mainly affected children under the age of five and appeared not fatal, although it was completely contagious.

Symptoms of hand, foot and mouth disease

The disease is a highly contagious viral infection that affects certain areas of the body such as the hand, foot and mouth, but can also affect the genital area and buttocks. Usually the initial symptoms are:

  • moderate fever
  • Sore throat;
  • Anorexia;
  • general malaise

After about two days, the following conditions can be observed:

  • Painful sores in the mouth and tongue (bladder lesions).
  • A rash (red lesions that turn into blisters) on the palms of the hands and soles of the feet, as well as on the ankles, elbows, genitals, and/or buttocks.

In some cases, three to eight weeks after the injury, the toenail may also separate from the hands and/or feet, which doctors know as an onychomycosis.

How is the treatment done?

Treatment aims to relieve symptoms such as pain and fever, and this is done through the use of analgesics, as well as other medications that reduce the discomfort caused by injuries.

In addition, it is recommended to keep the patient hydrated, as it may be difficult to feed him properly.

When is hospitalization necessary?

Infection with large areas and numerous lesions in the oral cavity (throat, mouth, tongue) may indicate the need for hospitalization, especially due to difficulty in eating. In addition, if CNS involvement is suspected, the patient should be admitted for observation.

What do you expect from the treatment?

Most people make a full recovery after about a week – at most 21 days. The infection does not confer definitive immunity and new cases may recur.

Complications are rare

Most of the time, the syndrome is self-healing, that is, it resolves on its own, without the need for specific drugs against the virus. Although rare, more serious cases can lead to complications such as persistent stomatitis and wounds in the oral cavity, making feeding difficult, especially if the baby is very young.

When the infection is associated with a specific type of virus, enterovirus 71, there may be a greater risk of developing neurological impairment, increasing the onset of encephalitis, meningitis, and other conditions.

Rarely still coxsackie virus It can lead to pneumonia, pericarditis, myocarditis and pulmonary edema. There is even evidence that it may also be involved in miscarriage.

* With information from a report published on 7/26/22

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