scholarly journals Study on the Clinical Characteristics of Hand-Foot-Mouth Disease Caused by Enterovirus 71 and Other Enteroviruses

2020 ◽  
Vol 7 (7) ◽  
pp. 1558
Author(s):  
Ravi Sahota ◽  
Navpreet Kaur ◽  
Gurpal Singh ◽  
Nisha Upadhyay

Background: The hand-foot-mouth disease (HFMD) is an acute communicable disease, mostly affecting children under 5 years of age and caused by human enterovirus 71 (EV-A71) and coxsackievirus A16 (CV-A16). The usual incubation period is 3 to 7 days. Early symptoms are likely to be fever often followed by a sore throat followed by loss of appetite and general malaise. Aim and objectives was to study the trend of hand foot and mouth disease in a private hospital in Uttarakhand over 5 successive years.Methods: This cross-sectional study was carried among 297 cases of HFMD newborn screened at pediatrics department of Sahota Super-specialty hospital, Kashipur, Uttarakhand during year 2015 to 2019 after ethical clearance of institutional ethical committee. Diagnosis is coded with ICD-10. SPSS version 20 was used to calculate frequencies and percentiles.Results: Almost 29 cases of HMFD were picked in 2015, 32 cases in 2016, 43 cases in 2017, 81 cases in 2018, 112 in 2019. Fever observed in 86% cases. Neurological complications were observed in 9 (3%) cases, pneumonitis in 14 (4.7%) cases, cardiomyopathy observed in 3 (<1%) case. One death was reported.Conclusions: It is vital to screen patients with HFMD for these abnormal clinical presentations, allowing timely initiation of appropriate interventions to reduce the mortality. Increased awareness about vaccination in a developing nation like India and vaccination program at the grass root levels have eradicated certain lethal diseases.


2014 ◽  
pp. 37-40
Author(s):  
Nu Van Anh Ton ◽  
Din Rmah

Objectives: Hand, foot and mouth disease (HFMD) caused by enterovirus, is a common infection in children. HFMD caused by enterovirus 71 can cause some serious complications, such as encephalitis-meningitis, myocarditis, pulmonary edema. The early detection of clinical manifestations of severe contribute to reducing mortality. So aim of this study to describe the clinical characteristics of hand foot and mouth disease in the Department of Pediatrics at Hue Central Hospital. Methods: Random sampling of all hospitalized patients from 1/2/2012 to 31/1/2013 diagnosed HFMD accompanied EV71 serum test. Method of cross-sectional descriptive study. Results and conclusions: with 441 patients admitted Hue Pediatrics Centre, 41,0% cause by EV71 and 59,0% cause by other enterovirus. 97,5% are under 5 years, male/female is 1,15/1. 68,5% coutryside. Almost patients admitted in 2rd and 3rd day (57.1%). Hospitalized reasons are fever (95,5%) and erythema rash. Majority of patients are grade 1 and 2a (87.3%). Grade 3 and 4 only (4.5%). Erythema higher proportion of vesicle, rash on foot is common.


2017 ◽  
Vol 8 (1) ◽  
pp. 42-45
Author(s):  
Poorna Devadoss, ◽  
Skanda Ramesh, ◽  
Pradeep Christopher, ◽  
Anbu Velusamy

ABSTRACT Signs of oral lesions are one of the initial indications for many major diseases. As we come across different lesions during routine dental checkups, we should be aware about the diseases associated with those lesions. A 47-year-old immunocompetent adult patient reported with small erythematous lesions in the hard palate and small ulcers in the tonsillar pillars and right buccal mucosa with mild pyrexia of 37.8°C. Maculopapular lesions were found on the palms and soles. He was diagnosed with hand-foot-mouth disease, which is caused by the following viruses: Enterovirus-71, Coxsackie Virus (CV)-16, CV-A6, and CV-A10. The severity of this condition leads to meningitis, paralytic polio, and onychomadesis (falling of nails). How to cite this article Devadoss P, Ramesh S, Christopher P, Velusamy A. A Case of Hand-Foot-Mouth Disease observed during Routine Dental Checkup in an Immunocompetent Healthy Adult Patient. J Health Sci Res 2017;8(1):42-45.


2020 ◽  
Author(s):  
Fang Fang ◽  
He yi ◽  
Xu feng

Abstract Background: To identify the critical type of severe hand-foot-mouth disease (HFMD) in early stage, long noncoding ribonucleic acid (LncRNA) microarray was used to screen specific LncRNA and to predictpossible pathogenesis and target genes of HFMD. Methods: Twenty cases of EV71-induced severe HFMD were collected in Children’s Hospital of Chongqing Medical University from September 2015 to September 2016. LncRNA microarray was used to analyze the expression of LncRNA and mRNA in peripheral blood of children between severe type and critical type, and then verify the validity by real-time polymerase chain reaction. Bioinformatic methods were used to investigate differentially expressed mRNA by gene ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. Results: We obtained differentially expressed profiles of LncRNA and mRNA from peripheral blood of children with EV71-induced severe HFMD, and the number of LncRNA was 1949, the total mRNA profiles were 1422. GO analysis found that differentially expressed mRNAs were involved in the processes of immune response, immune defense, nucleic acid metabolism, and protein and molecule binding. KEGG analysis revealed that the differentially expressed mRNAs were involved in the p53 signaling pathway, NOD-like receptor signaling pathway, osteoblast differentiation, and so on. The target gene SLPI was closely related to the critical type of severe HFMD by cis/trans target gene prediction, and the pathogenic processes was regulated by LncRNA NR_038337. Conclusion: Since differentially expressed LncRNAs and mRNAs are present in severe HFMD, our findings provide a new method to explore the pathogenesis of the critical type of severe HFMD, andfurther study on specific LncRNA and target genes in critical type has great significance for diagnosis and treatment of severe HFMD. Keywords: Long noncoding RNA; Enterovirus 71; Severe hand-foot-mouth disease; Target gene Trial registration:ChiCTR-DCD-15007192.Registered 8 October,2015, http://www.chictr.org.cn/ ChiCTR-DCD-15007192


PEDIATRICS ◽  
2007 ◽  
Vol 120 (2) ◽  
pp. e244-e252 ◽  
Author(s):  
K.-T. Chen ◽  
H.-L. Chang ◽  
S.-T. Wang ◽  
Y.-T. Cheng ◽  
J.-Y. Yang

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Xia Wang ◽  
Hong Liu ◽  
Ying Li ◽  
Rui Su ◽  
Yamin Liu ◽  
...  

Abstract Background To investigate the relationship between polymorphism of scavenger receptor class B member 2 (SCARB2) gene and clinical severity of enterovirus (EV)-71 associated hand-foot-mouth disease (HFMD). Methods Among the 100 recruited cases, 56 were in the severe HFMD group (case group) and 44 were in the general HFMD group (control group). By screening functional single nucleotide polymorphisms (SNPs) and hot SNPs, and performing SNP site optimization, some SNP sites of SCARB2 gene were selected for analysis. Genotyping was performed using a MassArray platform. PLINK software was used for statistical processing and analysis of the correlation differences between the mutant genotypes in the severe and general HFMD groups. The relationship between the SNPs and clinical severity of enterovirus (EV)-71 associated HFMD was assessed. Results 28 SNPs in SCARB2 were selected by site optimization. Then three loci were not in agreement with the minor allele frequency (MAF) in the 1000 Han Chinese in Beijing (CHB) dataset. Another three loci could not be detected. Nine loci were not suitable for further analysis (MAF < 0.01 and Hardy–Weinberg [HWE] P < 0.001). A total of 13 sites were subsequently analyzed. Through Fisher analysis, the frequency of the rs6812193 T allele was 0.134 and 0.034 in the severe and general HFMD groups, respectively (P 0.023 < 0.05, odds ratio [OR] 4.381 > 1). Logistic regression analysis of rs6812193 T alleles between the severe and general HFMD groups, respectively (P 0.023 < 0.05, OR 4.412 > 1, L95 1.210 > 1). Genotype logistic regression analysis of the rs6812193 alleles CT + TT versus CC gave an OR of 4.56 (95% confidence interval [95% CI] 1.22–17.04, P = 0.012). Conclusion The rs6812193 T allele was a susceptibility SNP for SHFMD, and the rs6812193 polymorphism might be significantly associated with the susceptibility to EV-71 infection.


Sign in / Sign up

Export Citation Format

Share Document