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.
Comparison of teen- and parent-reported estimates of social and emotional support, 2021 to 2022
July 23rd 2024The investigative team noted that teenagers with emotional and social support are better off to handle stressors such as biological and social transition, and are less likely to experience a variety of adverse physical and mental health outcomes.
