Hand, Foot, and Mouth Syndrome in an Immunocompetent Adult: a Case Report
| Autor: | Manuel Vaz Riscado, João Carlos Silva, Bárbara Flor de Lima, Nuno Riso, Ana Grilo, Ana Rodrigues |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Abdominal pain medicine.medical_specialty Pathology Myocarditis Myocarditis/immunology HCC INF Hand Foot and Mouth Disease/pathology Case Report Disease Myocarditis/complications Acute Pharyngitis General Biochemistry Genetics and Molecular Biology Coxsackie A9 Hand Foot and Mouth Disease/complications medicine Celiac Disease/pathology Humans Celiac Disease/virology Hand Foot and Mouth Disease/immunology Myopericarditis Myocarditis/virology Enterovirus B Human/isolation & purification Medicine(all) Hand Foot and Mouth Disease/virology Hand foot and mouth syndrome Biochemistry Genetics and Molecular Biology(all) business.industry General Medicine Enterovirus B Human/immunology medicine.disease Dermatology Enterovirus B Human Myocarditis/pathology Celiac Disease Acute Disease Celiac Disease/immunology medicine.symptom Immunocompetence Hand Foot and Mouth Disease business Odynophagia Foot (unit) Celiac Disease/complications |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP BMC Research Notes |
| Popis: | BACKGROUND: Hand, foot, and mouth syndrome (HFMS) is a common acute illness. It is characterized by mild clinical symptoms including fever, blisters, and sores in the mouth and on the palms and soles following a 3- to 7-day incubation period. This syndrome is rarely seen in adults. CASE PRESENTATION: A 35-year-old male Caucasian patient had a history of multiple episodes of acute pharyngitis, hypertension, hypercholesterolemia, and occasional abdominal pain. He presented with polyarthralgia in the knees and hands and odynophagia, followed by fever, oral mucosal aphthous lesions, and vesicles on the palms and soles. Three weeks after presentation, he was admitted to the emergency room with acute myocarditis. The in-hospital evaluation revealed positive serology for coxsackie A9 (1:160), positive anti-transglutaminase and anti-gliadin antibodies, normal immunoglobulins, and human immunodeficiency virus negativity. CONCLUSION: We herein describe a case of HFMS that was associated with coxsackie A9 infection complicated by acute myocarditis. Although an association between celiac disease and HFMS has not been described, this patient's immunologic disruption could have favored the development of infection and ultimately HFMS. |
| Databáze: | OpenAIRE |
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