Dieback

Description:

Infectious dieback (the Boston dieback, an epidemic dieback, korepodobny and krasnukhopodobny a dieback) - the acute infectious disease caused by a virus from group of ESNO-viruses, which is characterized by fever, the phenomena of the general intoxication and makulopapulezny rash.

Dieback symptoms:

The disease begins sharply. Body temperature to 38-39 °C increases, intoxication symptoms (weakness, a headache, muscular pains, pharyngalgias) are noted. In 1-2 days there is rash which in the expressed cases takes a trunk, extremities, a face, feet. On character the dieback is more often to a rubella - or korepodobny, is more rare scarlatiniform or petekhialny. In 3-4 days it disappears. Fever lasts 1-7 days. At certain patients also other displays of a disease (serous meningitis, an epidemic mialgiya) are observed.

A peculiar option of an enteroviral dieback - the disease proceeding with defeat of brushes, feet, oral cavities (Hand-Fuss-Mund Krankheit, or in abbreviated form HFMK). At this form against the background of moderate intoxication and small fervescence on fingers of brushes and feet there is a dieback in the form of the small vesicles with a diameter of 1-3 mm which are slightly acting over the level of skin and surrounded with a hyperemia nimbus. At the same time in language and a mucous membrane of cheeks find single small aphthous elements. The disease is caused by Koksaki's viruses And (serotypes 5, 10, 16).

Dieback reasons:

The infectious dieback (the Boston dieback, an epidemic dieback, korepodobny and krasnukhopodobny a dieback) is more often caused by the ECHO viruses (types 4, 5, 9, 12, 16, 18), is more rare Koksaki's (A-9, A-16, V-3) viruses.

Treatment of the Dieback:

There is no etiotropic treatment. Appoint fortifying and symptomatic means. Purpose of Prednisolonum, since 30-40 mg/days with the subsequent dose decline is effective. Course of treatment of 5-7 days.