The Coxsackie virus continues to worry both the residents of Turkey and its guests.
Despite the claims of experts that Coxsackie is an enterovirus that is not dangerous and is easily treated, the fear of this virus does not fade away. By the way, in adults, it can cause a variety of complications, up to deadly ones.
There is no vaccine against the Coxsackie virus, and there is no specific drug that can destroy this particular pathogen.
Some tourists decided to change their trip to Turkey for another country, but many still did not panic and refuse the planned trip. The Ministry of Health of the country notes that there is no reason to panic. Despite this, attendance at Turkish resorts has halved. People are afraid of the "Turkish chicken pox", that's what social media users have called it.
The Coxsackie virus has also reached Georgia - several cases appear a month. “Nothing new and supernatural is happening,” commented the National Center for Disease Control and Public Health.
As for Turkey, Kemer, Belek, Side, Antalya and Alanya are currently considered the most virus-infected resorts.
The first case of the Coxsackie virus was recorded in August in Alanya. An eight-month-old child, who was brought to rest by his parents, fell ill. It is noteworthy that children under the age of 14 are more sick with this virus.
The disease lasts from 7 to 10 days. As a rule, the first signs appear in the form of general intoxication of the body, intestinal disorders, fever, skin rashes on the feet, palms and mouth.
Prevention
Main preventive measures include thorough handwashing and the need to cover your mouth with a tissue or at least your hand when coughing and sneezing. The Coxsackie virus is spread by direct human-to-human contact. It is highly contagious and spreads most often through coughs and sneezes. The risk of contracting Coxsackie infection is highest among children under 5 years of age. Pregnant women can transmit Coxsackievirus to newborns.
If one child in the family gets sick, then all other family members are at risk. Therefore, a sick child should have separate cutlery and toys, diapers, clothes and towels, as well as bedding. All family members of the sick person are advised to frequently treat their hands with alcohol antiseptics.
The main thing is hygiene.
During illness, it is important that the patient drinks plenty of fluids. Coxsackie and enterovirus diseases are insidious, they can cause meningitis. With a bacterial complication, it is necessary to start antibiotic treatment, which ones and in what doses a qualified doctor should decide.
Take care of yourself and your family!
In hotels in Turkey this summer, there is again an outbreak of the coxsackie virus, which is called Turkish chickenpox. It affects the gastrointestinal tract and spreads rapidly through sneezing and coughing, as well as through contaminated objects and water. Both children and adults get sick. The incubation period for Turkish chickenpox is 2 to 10 days. The symptoms of the disease are pronounced, it begins with a sharp flash of high temperature, up to 40 degrees. On the body, most often on the feet, hands and face near the mouth, a rash appears in the form of small sores and vesicles. Coxsackies affected by the virus experience nausea, a sharp sore throat, as with angina and severe itching. Later, diarrhea, runny nose and cough are added to these symptoms.
There are no drugs for the treatment of the coxsackie virus. Antibiotics don't help either. Doctors recommend bed rest for Turkish chickenpox patients, drinking plenty of water, antipyretics at high temperatures, rehydron for diarrhea, and lozenges for sore throats and coughs. A maximum of 10 days recovery occurs. The most dangerous complication may be meningitis. Fortunately, it happens very rarely.
It is difficult to say in which hotels in Turkey the coxsackie virus is common in 2017. According to the reviews of vacationers in July, he was noted throughout Mediterranean coast. In June alone, 270 tourists were diagnosed with the disease. And how many did not go to the doctor? For example, here are excerpts from a review taken from a travel forum.
“The other day we arrived from Alanya. There, in a five-star hotel, a child caught the Turkish chickenpox virus. We did not go to the local doctor because we did not want to go to the local clinic. They called their own in Moscow and described the symptoms of the disease. She immediately diagnosed and gave recommendations on how to treat Turkish chickenpox. In the absence of the necessary solutions, we treated the rash on the child's body with vodka, and then sprinkled it with powder. In the Turkish pharmacy of the bank it costs 3 dollars. It's good that there was an allergy remedy that relieved the itch a little.
I do not want to write the name of the hotel here. We have been here for the fourth time and have always been satisfied. I sin on a children's excursion, which was three days before the first symptoms of Turkish chickenpox in my child.
What to add here? So everything is clear. Turkish chickenpox coxsackie in 2017 will ruin a vacation for many.
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The infection caused by the Coxsackie virus has a seasonality and has no age restrictions. Children are most often affected preschool age. This is due to the fact that hygiene at this age is not always sufficient, and being in a children's team is a factor that provokes the disease. In the article we will talk about the main signs of the disease, as well as their development and extinction during the first week after infection.
The Coxsackie virus or "Turkish chickenpox" is insidious in that up to a certain point has no specific symptoms. In this regard, the disease is difficult to diagnose in the early days, and it is even more difficult to differentiate it from chickenpox.
Everything starts like common acute respiratory disease. The malaise in the baby progresses every day more and more.
Important! The intensity of symptoms depends on many factors, including the type and form of pathology.
The latent period does not exceed ten days on average. At this time, the child is already considered contagious, although there may be no signs. The virus manifests itself during the day in an acute form. In the morning, the baby is alert and active, and by the evening the thermometer will rise to 38-39 degrees. Especially carefully you need to monitor the children of the first year of life.
Carefully! There are times when the temperature in a child reaches 40 degrees. The danger of this condition is that the heat is badly knocked down. This can lead to febrile seizures. The feverish state is accompanied by an ache all over the body, migraine.
The baby becomes capricious, lethargic, drowsy, nasal congestion appears. For problems with the gastrointestinal tract, classic symptoms may be accompanied by severe vomiting, diarrhea, bloating.
All these are common signs characteristic of any infection provoked by enteroviruses.
For specific features Coxsackie is usually attributed to:
With the simultaneous combination of these two signs, pediatricians diagnose a disease associated with the Coxsackie virus.
On a note! Do not forget about typical and atypical symptoms. In the latter case, it is hardly possible to identify pathology without special diagnostics.
To date, studied 2 subspecies of the Coxsackievirus: type A and B. The latter carries a real danger, it affects the brain, provokes changes in the heart muscle tissues.
Quite a rare occurrence when Coxsackie acting like polio:
The appearance of signs characteristic of meningitis suggests that pathogenic organisms active in the brain. All these signs are characteristic of a severe form of the disease.
During the latency period of viruses, pathogens actively “travel” through the bloodstream. The result of their malicious action is specific rashes in the form of sores, inside of which is a hazy yellow liquid. How the rash looks depends on both the diagnosis and the methods of therapy.
Important! The rash usually appears a day after the first manifestations of the disease. Skin rashes are called polymorphic exanthema.
Main locations:
The rash worries a sick child, causing discomfort severe irritating itching. Ulcers appear gradually.
| Period | The nature of the rash |
|---|---|
| 2nd day of illness | Pink small spots, contourless. They quickly become bright, turning into bubbles. The skin around the vesicles does not undergo changes. A similar rash is typical for allergic rashes, measles, rubella, scarlet fever. Itchy sensations appear in the first hours after the appearance of papules. |
| 3 day | Rashes turn into bubbles with liquid inside. Reminds me of chickenpox rashes. The kid suffers from unbearable itching, itches, screams, rushes about the bed. Attacks are aggravated at night. |
| Day 4 | Ulcers begin to break through, partially turn pale. Integuments with abundant rashes become dry, the skin bursts, peels off and begins to peel off. The process is very active on the feet and palms. The itch subsides. |
| 5-7 day | The rash is less noticeable, turns pale, gradually disappears. Small areas may remain for a short time, the skin continues to exfoliate. The skin renewal process can take up to 10 days. |
Photo of a child's throat:
There are several forms of the course of the disease: the intensity of the syndromes, the duration of the disease and the degree of damage to the body systems affect.
Allocate the following forms:
The disease can proceed in waves, with relapses and complications. The first form is considered the easiest: recovery occurs on the 10th day with the complete disappearance of symptoms.
Important! Any one syndrome indicates an isolated form. If there is a lesion of several organs at once, then we are talking about a combined variety.
The program "News", what the virus looks like on the body of a child, a photo of the rash in the video:
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We went on vacation with the whole family. Me, husband and two children (6 year old son and 1.7 year old daughter). Everyone, except for the daughter, had previously had chickenpox. Without fear of illness (there was not even a thought that a child of 1.7 years old, who does not go to kindergarten and has little contact with children, can get chickenpox without visible contact with the sick), we went on vacation.
What a surprise it was when, 3 days before departure, my child broke out in a rash. And not with three pimples, but the daughter became like a leopard! All the face and back began to become covered with a profuse rash.
Realizing that it was nothing more than chickenpox, and that we couldn’t fly home, we turned to the guide at the hotel to resolve the issue of extending the tour for me and my daughter. We contacted the doctor through the insurance company. We were taken to the clinic, where the doctor confirmed the diagnosis of Chicken-pox (chicken pox), and that the flight was not possible. The doctor gave us lotion white color and ordered to smear the spots 2 times a day. Reappearance in 5 days.
Upon payment: the insurance company immediately warned that if my child has chickenpox, then this is an insured event, and we only pay a deductible of $ 30, if it is something else (an allergy, for example), then this will not be an insured event, and we will have to pay all the expenses take over. I draw your attention to the fact that the insurance company compensated us only for the payment for visiting the doctor. Hotel accommodation in excess of the paid tour, plane tickets - this is not compensated by the UK.
Realizing that extending the stay for the whole family is too expensive for our budget, it was decided to return the husband and son home as planned. My daughter and I stay until the doctor gives permission to fly.
Yes, even the representative of the insurance company immediately made an offer - to try to fly with our sick child ... on another flight! To which I replied that, for starters, our flight was only tomorrow, but I would not fly anywhere with a sick child (and not just because only a blind person could NOT notice the chickenpox on my child’s face, and then only on a dark night).
The doctor gave permission for departure on the 8th day of the disease, when there were no new rashes, and the old pimples had noticeably dried up.
Findings:
If your child has chickenpox while on vacation, you will not be able to fly home without a doctor's permission to fly. Depending on the severity of the disease (temperature, amount of rash), you will most likely need to extend your holiday by several days. In this regard, I strongly recommend that you have a reserve of funds for such additional expenses:
- hotel accommodation (when extending the tour, the cost of a room per day will be higher than when you buy a full package from a tour operator);
- new plane tickets (old tickets are not returned, their cost is not compensated in any way);
- payment for the services of a doctor at a second appointment (if necessary. My child had a high temperature on the 7th day, as it turned out, he also caught a throat infection. The doctor's appointment cost me $ 50).
For those who think that they will sneak aboard a plane with a sick child, I will say right away - this is unlikely. Especially if the rash is plentiful. When I was driving home already with permission from the doctor, the airport staff began to ask about the rash at the very first stage - metal detectors at the entrance to the airport. At the check-in counter, the first question (through gestures) was a question about a rash. I presented a certificate from the doctor, the staff discussed something else in Turkish, then asked one of their own to make a photocopy of this permission for them, and only then proceeded to check us in for the flight.
Advice:
Read your insurance contract carefully before you go on holiday. If you buy a tour in advance, then be sure to make sure that the item is active in your contract with the UK: “refund in case of cancellation of the tour due to an infectious disease requiring treatment and quarantine that occurred BEFORE leaving for vacation” (for those who knows that there was contact with a patient with chickenpox in advance). Plus, specify if your child suddenly gets sick with chickenpox on vacation, then whether chickenpox is included in the list of “insurable” diseases and what kind of expenses the insurance company compensates for this. It will be cheaper to pay extra money for extended insurance than to pay for everything yourself later. And also carefully check your passport data in the insurance contract. I had an extra letter in my name in my documents. Fortunately, I noticed this before leaving and insisted on correcting the mistake.
Parents who travel with two or more children, please note that for your peace of mind, all children must be entered in the passports of both parents. Our son was entered both in my passport and in my husband's passport. Daughter - only in mine. So, if my son was also entered only in my passport, I would have to stay alone in a foreign country not only with my daughter, but also with my son, because. my husband could not take his son home without me. And also, theoretically, my husband could have stayed with my daughter, but since she was not indicated in his passport, it would also be impossible to go home with her without me and my passport.
Coxsackievirus comes from the genus Enteroviruses. In the American city of Coxsackie (New York), back in 1948, researcher Dalldorf first identified this sensational virus, which, according to stories, was so tired of holidaymakers in Turkey-2017. "Annoyed" the coxsackie virus and those who did not even think about relaxing on the seas this year.
Coxsackie virus - a danger on the shores of Turkey
In this article you will learn:
Doctors often confuse the Coxsackie virus with chickenpox: on the third or sixth day, an infected child has a fever, rashes appear on the palms and hands, feet, and also around the mouth. Therefore, the disease is also called "hands-foot-mouth". Rashes are also possible on the buttocks, knees. In addition, the throat hurts, sores appear on the oral mucosa, and doctors sometimes mistakenly consider this a manifestation of stomatitis.
According to pediatrician Anna Gorban, it is not difficult to distinguish the Coxsackie virus from chickenpox. Firstly, rashes do not occur throughout the body, as with chickenpox, and most importantly, the typical location of the rash in the scalp is not observed.
Also, the bubbles itch less, but are more painful. It is important to know that the Coxsackie virus is accompanied by muscle pain and, in severe cases, can cause diarrhea with vomiting. Babies sometimes have a hard time enduring this ailment: they are naughty because of painful blisters, they refuse to eat and drink because the oral mucosa is affected.
The Coxsackie virus is highly contagious. These viruses are most commonly transmitted by the fecal-oral route and by the respiratory route.
The patient is most contagious during the first week, starting from the onset of the first symptoms. However, viable coxsackieviruses were found in the respiratory tract three weeks after the onset of the disease, and were present in feces even up to eight weeks, but during this time the viruses became less infectious. Thus, a person remains contagious with the Coxsackie virus for several weeks after recovery, although not as strongly as at the beginning of the disease.
Doctors often confuse the Coxsackie virus with chickenpox: on the third or sixth day, an infected child has a fever, rashes appear on the palms and hands, feet, and also around the mouth Coxsackie infection is usually diagnosed by clinical manifestation- symptoms. As for the special diagnosis of the Coxsackie virus, it can be carried out by taking a blood test to isolate a specific virus serotype by PCR. With certain complications, tests are carried out, focusing on the symptoms of diseases and, of course, general clinical blood and urine tests.
Coxsackievirus, as you know, belongs to the family of enteroviruses, and chickenpox - to herpesviruses. It should be remembered that with the hand-foot-mouth syndrome, a rash on the scalp does not occur, this distinguishes the disease from ordinary chickenpox. To make sure the diagnosis is correct, it is better to pass the necessary tests.
For confirmation, the doctor takes a swab from the nasopharynx and analyzes the stool from the patient. The obtained samples are then examined by the PCR method to identify the virus genotype. What other tests need to be taken, the doctor will tell you based on the symptoms of the disease and general condition.
The doctor notes that the Coxsackie virus does not require special treatment, since it is symptomatic. Therefore, you can only deal with the symptoms.
For example, if there is a high temperature, it should be reduced. If bubbles appear, they should be wiped with local antiseptics. Also, drink more water.
It is also important to be under the control of a doctor, since in rare cases the virus can cause complications - inflammation of the brain (encephalitis) and inflammation of the heart muscles (myocarditis, coronary disease).
Among the many viruses that a person comes into contact with, there are enteroviruses. They successfully survive and reproduce in gastrointestinal tract but affect other organs.
Some enteroviruses (such as the poliovirus that causes poliomyelitis) are very dangerous and The best way prevent disease by getting vaccinated.
But Coxsackie - a type of enterovirus around which so much noise rises every summer - doctors do not consider it dangerous. But since Coxsackie most often affects children, you need to be fully prepared in case you encounter this infection.
Doctors know 29 types of Coxsackievirus, combined into groups A and B. Group A viruses affect the skin and mucous membranes, including the eyes and oral cavity. Group B viruses affect the pleural region, heart, liver, pancreas and often cause severe consequences.
As a rule, the period of infection with the virus lasts about 10 days. The temperature can last for 1-4 days, then it usually returns to normal on its own. Pain when swallowing persists for 1-6 days.
A person who has been ill with Coxsackie can return to the team after normalization of body temperature and general condition, but the main indicator will be the disappearance of the elements of the rash. Up to this point, the sick person may be contagious.
