Herpangina in a 17-Year-Old Boy
Throat pain of 1-day's duration sent this 17-year-old boy for medical evaluation. He had no fever and no other symptoms.
Herpangina
By Robert P. Blereau, MD
Throat pain of 1-day's duration sent this 17-year-old boy for medical evaluation. He had no fever and no other symptoms.
Injection of the posterior palate with multiple 1- to 2-mm pustules was evident. The patient's cervical glands were enlarged but not tender. A culture of material from these lesions showed no evidence of herpes simplex virus. A diagnosis of herpangina was made.
Herpangina, caused by group A or B coxsackievirus or other enteroviruses, generally occurs in epidemics and predominantly affects younger children. Fever, headache, and body pain may accompany the sore and vesiculated throat. The differential diagnosis includes aphthous stomatitis, herpetic stomatitis, and hand-foot-and-mouth disease.
The herpangina cleared following the patient's assiduous use of mouthwash containing tetracycline and triamcinolone.
Identifying biliary atresia in primary care with Sanjiv Harpavat, MD, PhD, FAAP
Published: February 19th 2025 | Updated: February 19th 2025Sanjiv Harpavat, MD, PhD, FAAP, lead author of a clinical report recently released by the AAP on identifying infants with biliary atresia, joined to discuss the report and guidance for primary care.
