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Treatment is aimed at fever control and maintaining good oral hydration.

Treatment is aimed at fever control and maintaining good oral hydration. Cases are commonly spread via the fecal-oral or oral-oral route. Isolated cases can occur, and epidemics occur regularly. The topical application of anesthetics is beneficial. This is an infection and inflammation of the membranes meninges and cerebrospinal fluid surrounding the brain and spinal cord. Complications are rare, but as with any pruritic rash, a secondary skin infection may occur. Treatment with antibiotics is not effective, and is not indicated. These sequelae include dysphagia, limb weakness, cardiopulmonary failure, and even death.

Standard dosages of antipyretics eg, acetaminophen, ibuprofen are recommended on an as-needed basis for fever and analgesia. Infection in the first trimester may lead to spontaneous abortion or intrauterine growth retardation. The infection affects young children, but can be seen in adolescents and occasionally adults. Be a positive role model by showing them how to keep themselves clean.

Symptoms of fever, poor appetite, runny nose and sore throat can appear three to five days after exposure. Specific immunity can occur, but a second episode is possible from a different strain of Coxsackie virus. The outbreaks occur most often in the summer and fall. The virus may be present in the patient's stool for 1 month. Viral meningitis is usually mild and often clears on its own in 10 days or less.

Antipyretics may be used to manage fever, and analgesics may be used to treat arthralgias. Viscous lidocaine, dyclonine solution, or diphenhydramine Benadryl may be used to treat painful oral ulcers. The virus is spread by direct contact with nose and throat discharges, blisters and feces of infected people. The patient's exclusion from school is generally not required. Dehydration can occur because the mouth lesions can cause pain with swallowing. The virus has been known to be shed in the stool for up to several weeks. While most children only get this illness once, it is possible to get it more than once from a different coxsackie virus.

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