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Hand, Foot, and Mouth Syndrome in an Immunocompetent Adult: a Case Report

2013Journal article Open access
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dc.contributor.authorFlor de Lima, B
dc.contributor.authorSilva, J
dc.contributor.authorRodrigues, AC
dc.contributor.authorGrilo, A
dc.contributor.authorRiso, N
dc.contributor.authorVaz Riscado, M
dc.date.accessioned2015-04-29T16:39:48Z
dc.date.available2015-04-29T16:39:48Z
dc.date.issued2013
dc.description.abstractBACKGROUND: 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.por
dc.identifier.citationBMC Res Notes. 2013 Nov 3;6:441por
dc.identifier.urihttp://hdl.handle.net/10400.17/2148
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherBioMed Centralpor
dc.subjectHCC INFpor
dc.subjectAcute Diseasepor
dc.subjectCeliac Disease/complicationspor
dc.subjectCeliac Disease/pathologypor
dc.subjectCeliac Disease/immunologypor
dc.subjectCeliac Disease/virologypor
dc.subjectEnterovirus B, Human/immunologypor
dc.subjectEnterovirus B, Human/isolation & purificationpor
dc.subjectHand, Foot and Mouth Disease/complicationspor
dc.subjectHand, Foot and Mouth Disease/immunologypor
dc.subjectHand, Foot and Mouth Disease/pathologypor
dc.subjectHand, Foot and Mouth Disease/virologypor
dc.subjectImmunocompetencepor
dc.subjectMyocarditis/complicationspor
dc.subjectMyocarditis/immunologypor
dc.subjectMyocarditis/pathologypor
dc.subjectMyocarditis/virologypor
dc.titleHand, Foot, and Mouth Syndrome in an Immunocompetent Adult: a Case Reportpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage441por
oaire.citation.titleBMC Research Notespor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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