Herpangina - Symptoms and Signs

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What are herpangina symptoms and signs?

Typically children with herpangina have the following:

  • Fever
  • Sore throat
  • Small blisters and ulcers may cover the soft palate, uvula, tonsils, and posterior pharynx. The rest of the mouth is normal in appearance. These blisters can last for up to a week.
  • Enlarged lymph nodes along the neck (lymphadenopathy)
  • Rash may or may not be present.
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See what others are saying

Comment from: someones dad, 0-2 Male (Caregiver) Published: June 05

My son was feeling great on Friday. We went out to dinner and he had quite an appetite. After dinner we went to the park, then had movie night, he was so excited and full of energy the whole time. The next morning (Saturday) he woke up crying (very rare) and had a fever of 103-104. He was lethargic and had very little to no appetite. He was very cranky and moody and had difficulty sleeping and excessive drooling. We watched through Sunday and he got worse with still a high fever, and we offered him popsicles and gave him lukewarm baths. He still did not want to eat. Finally took him to the doctor on Monday morning and they looked in the back of his throat and confirmed it was herpangina. He got it from his daycare. There was a notice sent to parents that the room next door to his had a confirmed case of (mild) Coxsackie virus. I bet the fact that it's just in the mouth is why it is herpangina. I did not notice any sores or bumps on his hands or feet or outside of his mouth. However there are bumps now on his elbow.

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Comment from: Mommy, 0-2 Female (Caregiver) Published: June 19

My daughter is 20 months. She was fine and then all of a sudden on Saturday morning she was quiet, lethargic, and sleepy (so not like her). I felt her body and it was warm. I came home, took her temperature and it was 100.9. I gave her some cool water and a Popsicle, took her temperature again an hour later. It went up to 101.9. I gave her ibuprofen 5 ml. I took temperature 45 minutes later, and it went up again! She was still playful in between fever spikes so I thought she may have been teething on last few molars so I wrote it off. The next day, she was having fits, very irritable, crying about everything, we then noticed she had major outbursts when she was eating. We then rushed her to the emergency room (ER). They looked at her feet and hands first, based on the symptoms we gave. She had nothing on them, but they found the blisters in the back of her mouth. I was highly upset to find it was a virus and not a bacterial infection like strep that could be treated immediately. But she is doing fine, here it is the third day since diagnosis of herpangina, and she has only had mild fevers and nibbles here and there on food. She drinks with no problem. I made sure to give her fluids and foods shortly after ibuprofen kicked in. I also gave probiotics, vitamin C dissolve tablets, and echinacea drops each morning. She will be out of daycare for the whole week. I'm not sure if she got it from daycare or somewhere the week before when she was with my mom on vacation.

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