Pediatric Research and Child Health

A Case Report of a Toddler with Hand-Foot-Mouth Disease with MRI Characteristics of Brain Stem Encephalitis Caused by Enterovirus 71

Author(s): Sandeep Mude, Mayur Godhani, Vilas M Jadav, Uday S Patil

Background: Hand, foot, and mouth disease (HFMD) is a highly contagious viral infection occurring mostly in infants and’s coused by viruses from the Enterovirus genus,most commomly the coxsackie virus. These viruses can spread from person-to-person through direct contact with unwashed hands or surface contaminated with feces.Infection mostly occurs in children < 5 years of age. Severe cases, however, are usually encountered in children under the age of 2-3 years. 
Introduction: We report a rare case of HFMD in a toddler male residing in kolhapur, (Maharashtra) india. The clinical presentation was typical of HFMD and included vesicular lesions and oral mucosal ulcers, macular and vesicular lesions on palms and soles with neurological involvement. The patient showed neurological improvement and recovered completely in 2 weeks 
Conclusions: This case indicates that Enterovirus infection may cause HFMD in toddler with potentional neurological involvement. pediatricians should be aware of the possibility of HFMD occurring in toddler and prompt treatment should be given under neurophysician could be life-saving in these patients.

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