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Exantema vírico de manos, pies y boca
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Exantema vírico de manos, pies y boca

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Exantema vírico de manos, pies y boca

Es una infección viral común que usualmente comienza en la garganta.

Causas

El exantema vírico de manos, pies y boca comúnmente es causado por un virus llamado Coxsackie A16.

Los niños menores de 10 años resultan afectados más a menudo. Los adolescentes y los adultos a veces pueden contraer la infección. Esta enfermedad ocurre generalmente en el verano y principios del otoño.

El virus puede propagarse de una persona a otra a través de pequeñas gotitas de aire que se liberan cuando la persona enferma estornuda, tose o se suena la nariz. Usted puede contraer la enfermedad si:

Una persona con la infección estornuda, tose o se suena la nariz cerca de usted.

Usted se toca la nariz, los ojos o la boca después de haber tocado algo contaminado con el virus, como un juguete o el pestillo de la puerta.

Toca las heces o el líquido de las ampollas de una persona infectada.

El virus se propaga más fácilmente durante la primera semana de enfermedad de una persona.

Síntomas

El tiempo entre el contacto con el virus y el inicio de los síntomas es aproximadamente de 3 a 7 días. Los síntomas abarcan:

Fiebre

Dolor de cabeza

Pérdida del apetito

Erupción con ampollas pequeñas en las manos, los pies y en la zona donde se coloca el pañal; pueden estar sensibles o dolorosas si se presionan

Dolor de garganta

Úlceras en la garganta (incluso las amígdalas), boca y lengua

Pruebas y exámenes

Los antecedentes de enfermedad reciente y un examen físico que comprueba la presencia de las ampollas características en las manos y en los pies generalmente son suficientes para diagnosticar esta enfermedad.

Tratamiento

No existe tratamiento específico para la infección distinto al alivio de los síntomas.

El tratamiento con antibióticos no funciona porque la infección es causada por un virus. (Los antibióticos tratan infecciones causadas por bacterias, no virus.) Para aliviar los síntomas, se pueden utilizar los siguientes cuidados en el hogar:

Los medicamentos de venta libre, como paracetamol (Tylenol) o ibuprofeno, se pueden utilizar para tratar la fiebre. El ácido acetilsalicílico (aspirin) no debe ser empleado con enfermedades virales en niños menores de 18 años.

Los enjuagues bucales con agua con sal (1/2 cucharadita de sal en 1 vaso de agua tibia) pueden servir como calmante.

Tome mucho líquido, ya que se necesitan líquidos adicionales cuando hay fiebre. Los mejores líquidos son los productos lácteos fríos. No tome jugos ni bebidas gaseosas porque su contenido ácido causa ardor en las úlceras.

Expectativas (pronóstico)

La recuperación completa se da en 5 a 7 días.

Posibles complicaciones

Pérdida de líquidos corporales (deshidratación)

Convulsiones debido a fiebre alta (convulsiones febriles)

Cuándo contactar a un profesional médico:

Consulte con el médico si hay signos de complicaciones como dolor en el cuello, en los brazos y en las piernas. Los síntomas de emergencia incluyen convulsiones.

También se debe consultar si:

El medicamento no baja la fiebre alta.

Se presentan signos de deshidratación como resequedad en las membranas mucosas y en la piel, pérdida de peso, irritabilidad, disminución de la lucidez mental, orina oscura o disminuida.

Prevención

Evite el contacto con personas que tengan esta enfermedad. Siempre lávese bien las manos y con frecuencia, en especial si está en contacto con personas enfermas. Asimismo, enséñeles a los niños a lavarse las manos bien y con frecuencia.

Nombres alternativos

Infección por el virus de Coxsackie; Enfermedad de MPB

Referencias

Abzug MJ. Nonpolio enteroviruses. In: Kliegman RM, Stanton BF, St. GemeIII JW, Schor NF, Behrman RE, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Elsevier Saunders; 2011:chap 242.

Habif TP. Exanthems and drug eruptions. In: Habif TP, ed. Clinical Dermatology. 5th ed. Phildelphia, Pa: Elsevier Mosby; 2009:chap 14.Medlineplus

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